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Deficiency Records for Ellicott City Healthcare Center
A list of the most recent deficiencies for Ellicott City Healthcare Center. 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 Ellicott City Healthcare Center. 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? |
|---|---|---|---|---|
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-05-10 | 2024-06-20 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-10 | 2024-06-20 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-14 | 2023-01-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-14 | 2023-01-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-10-14 | 2023-01-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-14 | 2023-01-13 | Y |
| Post nurse staffing information every day. | Health | 2022-10-14 | 2023-01-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-14 | 2023-01-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-14 | 2022-11-21 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-10-14 | 2022-11-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-10-14 | 2022-11-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-14 | 2022-11-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-14 | 2022-11-21 | 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 | 2022-10-14 | 2022-11-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-14 | 2022-11-21 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-14 | 2022-11-21 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-10-14 | 2022-11-21 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-10-14 | 2022-11-21 | N |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2022-10-14 | 2022-11-21 | 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 | 2022-10-14 | 2022-11-21 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-10-14 | 2022-11-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-14 | 2022-11-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-14 | 2022-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-21 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-10-14 | 2022-11-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-14 | 2022-11-21 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-14 | 2022-11-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-14 | 2022-11-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-10-14 | 2022-11-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-14 | 2022-11-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-14 | 2022-11-21 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-10-14 | 2022-11-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-14 | 2022-11-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-14 | 2022-11-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-10-14 | 2022-11-21 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-14 | 2022-11-21 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-09-08 | 2022-10-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-08 | 2022-10-19 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-09-08 | 2022-10-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-08 | 2022-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-08 | 2022-10-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-09-08 | 2022-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-08 | 2022-10-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-11 | 2019-10-25 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-09-11 | 2019-10-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-11 | 2019-10-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-11 | 2019-10-25 | 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 | 2019-09-11 | 2019-10-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-11 | 2019-10-25 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-09-11 | 2019-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-11 | 2019-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-11 | 2019-10-25 | 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 | 2019-09-11 | 2019-10-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-11 | 2019-10-25 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-11 | 2019-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-11 | 2019-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-11 | 2019-10-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-11 | 2019-10-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-09-11 | 2019-10-25 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-09-11 | 2019-10-25 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-09-11 | 2019-10-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-11 | 2019-10-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-09-11 | 2019-10-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-11 | 2019-10-25 | N |
| Provide or obtain dental services for each resident. | Health | 2019-09-11 | 2019-10-25 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-09-11 | 2019-10-25 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2019-09-11 | 2019-10-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-11 | 2019-10-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-09-05 | 2019-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-05 | 2019-10-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-05 | 2019-10-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-09-05 | 2019-10-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-09-05 | 2019-10-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-19 | 2018-06-17 | 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 | 2018-04-19 | 2018-06-17 | 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 | 2018-04-19 | 2018-06-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-19 | 2018-06-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-19 | 2018-06-17 | N |
| Provide appropriate care/assistance for a resident with a prosthesis. | Health | 2018-04-19 | 2018-06-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-19 | 2018-06-17 | 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 | 2018-04-19 | 2018-06-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-19 | 2018-06-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-04-17 | 2018-06-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-17 | 2018-06-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-04-17 | 2018-06-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-04-17 | 2018-06-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-17 | 2018-06-01 | N |
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