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Deficiency Records for Eagle Point Nursing and Rehabilitation

A list of the most recent deficiencies for Eagle Point Nursing and Rehabilitation. 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 Eagle Point Nursing and Rehabilitation. 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 implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-06 2024-07-06 N
Provide and implement an infection prevention and control program. Health 2024-06-06 2024-07-06 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-06-06 2024-07-06 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-06-06 2024-07-06 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-06-06 2024-07-06 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-06-11 2024-06-20 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-06-11 2024-06-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-11 2024-06-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-06-11 2024-06-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-02-15 2023-03-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-15 2023-03-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-02-15 2023-03-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-02-15 2023-03-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-02-15 2023-03-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-09 2023-03-09 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 2023-02-09 2023-03-09 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-02-09 2023-03-09 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2021-08-03 2021-09-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-03 2021-09-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-08-03 2021-09-03 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-08-03 2021-09-03 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-08-03 2021-09-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-08-03 2021-09-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-03 2021-09-03 N
Have proper medical gas storage and administration areas. Fire Safety 2021-08-03 2021-09-03 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-07-29 2021-08-20 N

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