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Deficiency Records for Ecumen North Branch
A list of the most recent deficiencies for Ecumen North Branch. 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 Ecumen North Branch. 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? |
---|---|---|---|---|
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-09 | 2024-08-29 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-09 | 2024-08-29 | 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 | 2024-08-09 | 2024-08-29 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-09 | 2024-08-29 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-09 | 2024-08-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-09 | 2024-08-29 | N |
Provide and implement an infection prevention and control program. | Health | 2024-08-09 | 2024-08-29 | 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 | 2024-08-07 | 2024-08-29 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-07 | 2024-08-29 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-08-07 | 2024-08-16 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-06-17 | 2024-07-10 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-27 | 2023-11-13 | N |
Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-11-13 | N |
Implement a program that monitors antibiotic use. | Health | 2023-09-27 | 2023-11-13 | N |
Install proper backup exit lighting. | Fire Safety | 2023-09-27 | 2023-11-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-11-13 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-27 | 2023-11-13 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-06-23 | 2022-08-05 | 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 | 2022-06-23 | 2022-08-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-23 | 2022-08-05 | N |
Implement emergency and standby power systems. | Fire Safety | 2022-06-23 | 2022-08-05 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-06-23 | 2022-08-05 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-23 | 2022-08-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-23 | 2022-08-05 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-23 | 2022-08-05 | N |
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