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Deficiency Records for Emerald Trace

A list of the most recent deficiencies for Emerald Trace. 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 Emerald Trace. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-15 2024-01-16 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 2023-12-15 2024-01-16 N
Provide and implement an infection prevention and control program. Health 2023-12-15 2024-01-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-15 2024-01-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-15 2024-01-16 Y
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 2023-11-27 2023-12-21 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-11-27 2023-12-21 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-11-27 2023-12-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-11-27 2023-12-21 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-11-27 2023-12-21 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-11-27 2023-12-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-27 2023-12-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-10-01 2021-10-22 N
Ensure each resident receives an accurate assessment. Health 2019-05-30 2019-07-11 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 2019-05-30 2019-07-11 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-05-29 2019-07-09 N

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