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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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