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Deficiency Records for Emerald Nursing and Rehab Omaha
A list of the most recent deficiencies for Emerald Nursing and Rehab Omaha. 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 Emerald Nursing and Rehab Omaha. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2024-09-24 | 2024-10-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-24 | 2024-10-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-24 | 2024-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-24 | 2024-10-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-09-24 | 2024-10-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-09-24 | 2024-10-16 | 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 | 2024-09-24 | 2024-10-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-24 | 2024-10-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-24 | 2024-10-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-24 | 2024-10-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-24 | 2024-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-24 | 2024-10-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-24 | 2024-10-16 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-09-24 | 2024-10-16 | 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 | 2024-09-24 | 2024-10-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-24 | 2024-10-14 | 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 | 2024-09-24 | 2024-10-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-24 | 2024-10-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-24 | 2024-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-24 | 2024-10-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-24 | 2024-10-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-26 | 2024-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-13 | 2024-01-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-11 | 2023-10-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-11 | 2023-09-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-11 | 2023-09-18 | Y |
| 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 | 2023-08-11 | 2023-09-18 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-11 | 2023-09-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-11 | 2023-09-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-11 | 2023-09-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-11 | 2023-09-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-09-18 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-08 | 2023-09-18 | 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 | 2023-08-08 | 2023-09-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-08 | 2023-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-08 | 2023-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-08 | 2023-09-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-08 | 2023-09-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-08 | 2023-09-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-08 | 2023-09-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-08 | 2023-09-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-12 | 2023-06-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-12 | 2023-06-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-12 | 2023-05-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-12 | 2023-05-11 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-12 | 2023-05-11 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-12 | 2022-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-12 | 2022-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-12 | 2022-09-23 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-18 | 2022-08-26 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-18 | 2022-08-26 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-18 | 2022-08-26 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-18 | 2022-08-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-18 | 2022-08-26 | 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 | 2022-07-18 | 2022-08-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-07-18 | 2022-08-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-18 | 2022-08-26 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-18 | 2022-08-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-18 | 2022-08-26 | 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 | 2022-07-18 | 2022-08-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-18 | 2022-08-26 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-18 | 2022-08-26 | Y |
| 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 | 2022-07-18 | 2022-08-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-18 | 2022-08-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-18 | 2022-08-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-18 | 2022-08-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-18 | 2022-08-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-18 | 2022-08-26 | Y |
| 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 | 2022-07-18 | 2022-08-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-18 | 2022-08-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-18 | 2022-08-26 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-12 | 2022-08-26 | 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 | 2022-07-12 | 2022-08-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-12 | 2022-08-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-12 | 2022-05-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-12 | 2022-05-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-12 | 2022-05-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-29 | 2022-04-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-27 | 2022-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-27 | 2022-02-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-27 | 2022-02-09 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-12-27 | 2022-02-09 | Y |
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