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Deficiency Records for Elm Crest Retirement Community
A list of the most recent deficiencies for Elm Crest Retirement Community. 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 Elm Crest Retirement Community. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-21 | 2024-08-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-21 | 2024-08-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-05 | 2023-11-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-05 | 2023-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-05 | 2023-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-11-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-11 | 2023-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-11 | 2023-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-25 | 2022-09-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-25 | 2022-09-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-25 | 2022-09-30 | Y |
| 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 | 2022-08-25 | 2022-09-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-30 | 2022-09-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-30 | 2022-09-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-30 | 2022-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-30 | 2022-09-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-16 | 2021-03-16 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-02-16 | 2021-03-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-02-11 | 2021-03-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-02-11 | 2021-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-11 | 2021-03-11 | N |
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