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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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