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Deficiency Records for Egle Nursing Home
A list of the most recent deficiencies for Egle Nursing 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 Egle Nursing 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-09 | 2024-07-03 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-09 | 2024-07-03 | N |
Assess the resident when there is a significant change in condition | Health | 2024-05-09 | 2024-07-03 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-05-09 | 2024-07-03 | 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 | 2024-05-09 | 2024-07-03 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-05-09 | 2024-07-03 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-05-09 | 2024-07-03 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-09 | 2024-07-03 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-05-09 | 2024-07-03 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-09 | 2024-07-03 | N |
Provide and implement an infection prevention and control program. | Health | 2024-05-09 | 2024-07-03 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-05-09 | 2024-07-03 | N |
Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2024-05-09 | 2024-07-03 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-09 | 2024-07-03 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-21 | 2024-06-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-21 | 2024-06-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-21 | 2024-06-21 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-05-21 | 2024-06-21 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-21 | 2024-06-21 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-16 | 2019-06-29 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-16 | 2019-06-29 | N |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-05-16 | 2019-06-29 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-05-16 | 2019-06-29 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-16 | 2019-06-29 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-05-16 | 2019-06-29 | 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 | 2019-05-16 | 2019-06-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-16 | 2019-06-29 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-16 | 2019-06-29 | N |
Keep all essential equipment working safely. | Health | 2019-05-16 | 2019-06-29 | N |
Meet other general requirements. | Fire Safety | 2019-05-23 | 2019-06-22 | 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 | 2019-05-23 | 2019-06-22 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-23 | 2019-06-22 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2017-12-19 | 2018-02-28 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
Provide primary/alternate means for communication. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
Establish emergency prep training and testing. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
Establish staff and initial training requirements. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
Conduct testing and exercise requirements. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
Meet other general requirements. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-12-19 | 2018-02-28 | 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 | 2017-12-19 | 2018-02-28 | N |
Construct fire resistant interior walls. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-19 | 2018-02-28 | 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 | 2017-12-14 | 2018-01-25 | 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 | 2017-12-14 | 2018-01-25 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2017-12-14 | 2018-01-25 | N |
Keep all essential equipment working safely. | Health | 2017-12-14 | 2018-01-25 | N |
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