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Deficiency Records for Elevate Care North Branch
A list of the most recent deficiencies for Elevate Care North Branch. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Elevate Care North Branch. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-05 | 2024-08-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-11 | 2024-07-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-11 | 2024-07-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-23 | 2024-05-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-23 | 2024-05-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-23 | 2024-05-02 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-04-23 | 2024-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-23 | 2024-05-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-04-24 | 2024-05-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-24 | 2024-05-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-24 | 2024-05-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-24 | 2024-05-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-24 | 2024-05-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-24 | 2024-05-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-24 | 2024-05-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-03 | 2024-03-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-03 | 2024-03-12 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-07 | 2023-12-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-07 | 2023-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-09-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-06 | 2023-09-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-06 | 2023-09-07 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-06 | 2023-09-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-06 | 2023-09-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-06 | 2023-09-07 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-09-06 | 2023-09-07 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-09-06 | 2023-09-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-06 | 2023-09-07 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-09-06 | 2023-09-07 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-06 | 2023-09-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-06 | 2023-09-07 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-06 | 2023-09-07 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-09-06 | 2023-09-07 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-09-06 | 2023-09-07 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-09-06 | 2023-09-07 | Y |
| Keep all essential equipment working safely. | Health | 2023-09-06 | 2023-09-07 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-06 | 2023-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-07 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-12-11 | 2022-12-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-01 | 2022-12-02 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-12-01 | 2022-12-02 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-01 | 2022-12-02 | N |
| Post nurse staffing information every day. | Health | 2022-12-01 | 2022-12-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-12-01 | 2022-12-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-01 | 2022-12-02 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-12-01 | 2022-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2022-12-02 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-12-01 | 2022-12-02 | N |
| Dispose of garbage and refuse properly. | Health | 2022-12-01 | 2022-12-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-01 | 2022-11-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-28 | 2022-08-29 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-06-21 | 2022-07-11 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-06-21 | 2022-06-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-21 | 2022-06-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-21 | 2022-06-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-21 | 2022-06-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-21 | 2022-06-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-21 | 2022-06-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-11 | 2022-02-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-11 | 2022-02-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-11 | 2022-02-12 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-06 | 2022-01-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-01-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-12 | 2020-08-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-03-12 | 2020-07-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-03-12 | 2020-07-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-03-12 | 2020-06-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-03-12 | 2020-06-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-12 | 2020-06-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-12 | 2020-06-29 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-03-12 | 2020-06-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-12 | 2020-06-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-12 | 2020-06-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-12 | 2020-04-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-03-12 | 2020-04-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-12 | 2020-04-01 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-12 | 2020-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-12 | 2020-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-12 | 2020-04-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-03-12 | 2020-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-12 | 2020-04-01 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-03-12 | 2020-04-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-12 | 2020-04-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-12 | 2020-04-01 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-03-12 | 2020-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-04-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-03-12 | 2020-04-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-03-12 | 2020-04-01 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2020-03-12 | 2020-04-01 | N |
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