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Deficiency Records for Ebenezer Integrated Care and Rehab
A list of the most recent deficiencies for Ebenezer Integrated Care and Rehab. 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 Ebenezer Integrated Care and Rehab. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-05-10 | 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 | 2024-03-21 | 2024-05-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-19 | 2024-05-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-19 | 2024-05-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-19 | 2024-05-10 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-03-19 | 2024-05-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-03-06 | 2024-04-19 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-26 | 2023-03-12 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-10-26 | 2022-12-29 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-10 | 2022-12-23 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-10-27 | 2022-12-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-27 | 2022-12-09 | 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 | 2022-10-27 | 2022-12-09 | N |
| Provide or obtain dental services for each resident. | Health | 2022-10-27 | 2022-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-27 | 2022-12-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-27 | 2022-11-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-26 | 2022-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-26 | 2022-11-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-10-26 | 2022-11-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-26 | 2022-11-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-26 | 2022-11-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-22 | 2021-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-22 | 2021-06-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-04-22 | 2021-06-14 | 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 | 2021-04-22 | 2021-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-22 | 2021-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-06-14 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
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