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Deficiency Records for Elkhart Meadows
A list of the most recent deficiencies for Elkhart Meadows. 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 Elkhart Meadows. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-12 | 2024-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-12 | 2024-10-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-12 | 2024-10-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-08-30 | 2024-09-22 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-08-30 | 2024-09-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-30 | 2024-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-30 | 2024-09-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-25 | 2023-11-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-25 | 2023-11-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-25 | 2023-11-25 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-10-25 | 2023-11-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-12 | 2023-10-07 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-12 | 2023-10-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-15 | 2023-01-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-15 | 2023-01-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-11-15 | 2023-01-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-15 | 2023-01-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-15 | 2023-01-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-15 | 2023-01-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-15 | 2023-01-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-15 | 2023-01-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-15 | 2023-01-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-15 | 2023-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-14 | 2022-10-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-14 | 2022-10-07 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-14 | 2022-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-14 | 2022-10-07 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2022-09-14 | 2022-10-07 | N |
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