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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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