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Deficiency Records for Envive of Evansville
A list of the most recent deficiencies for Envive of Evansville. 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 Envive of Evansville. 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 | 2024-05-14 | 2024-06-06 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-06 | 2024-01-01 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-06 | 2024-01-01 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-12-06 | 2024-01-01 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-12-06 | 2024-01-01 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-12-06 | 2024-01-01 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-06 | 2024-01-01 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-06 | 2024-01-01 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-06 | 2024-01-01 | 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 | 2023-12-06 | 2024-01-01 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-06 | 2024-01-01 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-06 | 2024-01-01 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-12-06 | 2024-01-01 | N |
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-06 | 2024-01-01 | N |
Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2024-01-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2024-01-01 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-12-11 | 2024-01-01 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-12-11 | 2024-01-01 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-12-11 | 2024-01-01 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-11 | 2024-01-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-11 | 2024-01-01 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-12-11 | 2024-01-01 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-11 | 2024-01-01 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-11 | 2024-01-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-11 | 2024-01-01 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-20 | 2023-08-18 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-20 | 2023-08-18 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-06 | 2022-11-07 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-19 | 2022-06-24 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-05-19 | 2022-06-24 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-19 | 2022-06-24 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-19 | 2022-06-24 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-31 | 2022-04-25 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-21 | 2022-04-11 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-03-21 | 2022-04-11 | Y |
Establish policies and procedures for medical documentation. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Conduct testing and exercise requirements. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Meet other general requirements. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-08-10 | 2021-09-13 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-10 | 2021-09-13 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-10 | 2021-09-13 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-08-20 | 2019-09-19 | N |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-08-20 | 2019-09-19 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-20 | 2019-09-19 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-20 | 2019-09-19 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-20 | 2019-09-19 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-20 | 2019-09-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-20 | 2019-09-19 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-20 | 2019-09-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-20 | 2019-09-19 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-20 | 2019-09-19 | N |
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