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Deficiency Records for Center For Extended Care at Amherst
A list of the most recent deficiencies for Center For Extended Care at Amherst. 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 Center For Extended Care at Amherst. 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 and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-24 | 2024-05-24 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-10 | 2024-05-24 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-10 | 2024-05-24 | 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 | 2024-04-10 | 2024-05-24 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-04-10 | 2024-05-24 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-04-10 | 2024-05-24 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-04-10 | 2024-05-24 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-04-10 | 2024-05-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-10 | 2024-05-24 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-10 | 2024-05-24 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-04-10 | 2024-05-24 | N |
Provide and implement an infection prevention and control program. | Health | 2024-04-10 | 2024-05-24 | N |
Provide emergency officials' contact information. | Fire Safety | 2024-05-02 | 2024-05-13 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-13 | 2023-11-28 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-11-13 | 2023-11-28 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-15 | 2023-04-27 | N |
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-03-15 | 2023-04-27 | N |
Assess the resident when there is a significant change in condition | Health | 2023-03-15 | 2023-04-27 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-03-15 | 2023-04-27 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-15 | 2023-04-27 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-15 | 2023-04-27 | 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 | 2023-03-15 | 2023-04-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-15 | 2023-04-27 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-15 | 2023-04-27 | N |
Provide and implement an infection prevention and control program. | Health | 2023-03-15 | 2023-04-27 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-23 | 2023-03-30 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-03-23 | 2023-03-30 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2023-03-23 | 2023-03-30 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-03-23 | 2023-03-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-23 | 2023-03-27 | N |
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-12-14 | 2023-02-17 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-12-14 | 2023-02-17 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-11-29 | 2021-12-02 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-26 | 2021-04-05 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-26 | 2021-04-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-26 | 2021-04-05 | N |
Provide and implement an infection prevention and control program. | Health | 2021-02-26 | 2021-04-05 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-03-10 | 2021-03-17 | N |
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