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Deficiency Records for Evansville Protestant Home

A list of the most recent deficiencies for Evansville Protestant Home. 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 Evansville Protestant Home. 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?
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-03-05 2024-03-29 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2024-03-05 2024-03-29 N
Develop a communication plan. Fire Safety 2024-03-05 2024-03-29 N
Establish emergency prep training and testing. Fire Safety 2024-03-05 2024-03-29 N
Install resident room doors of proper design and width. Fire Safety 2024-03-05 2024-03-29 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-03-05 2024-03-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-05 2024-03-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-05 2024-03-29 N
Have proper medical gas storage and administration areas. Fire Safety 2024-03-05 2024-03-29 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-02-02 2024-03-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-02 2024-03-02 N
Provide and implement an infection prevention and control program. Health 2024-02-02 2024-03-02 N
Install resident room doors of proper design and width. Fire Safety 2022-06-14 2022-07-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-14 2022-07-25 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-06-14 2022-07-25 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-05-16 2022-06-15 N
Post nurse staffing information every day. Health 2022-05-16 2022-06-15 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 2022-05-16 2022-06-15 N
Provide and implement an infection prevention and control program. Health 2022-05-16 2022-06-15 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2019-09-12 2019-10-12 N
Install resident room doors of proper design and width. Fire Safety 2019-09-12 2019-10-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-09-12 2019-10-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-09-12 2019-10-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-09-12 2019-10-12 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2019-08-06 2019-09-05 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 2019-08-06 2019-09-05 N
Provide care by qualified persons according to each resident's written plan of care. Health 2019-08-06 2019-09-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-08-06 2019-09-05 N
Post nurse staffing information every day. Health 2019-08-06 2019-09-05 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 2019-08-06 2019-09-05 N
Provide and implement an infection prevention and control program. Health 2019-08-06 2019-09-05 N

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