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Deficiency Records for Elmora Hills Health and Rehabilitation Center
A list of the most recent deficiencies for Elmora Hills Health and Rehabilitation Center. 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 Elmora Hills Health and Rehabilitation Center. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-23 | 2024-10-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-23 | 2024-10-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-23 | 2024-10-02 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-08-23 | 2024-10-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-23 | 2024-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-23 | 2024-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-23 | 2024-10-01 | 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 | 2024-08-23 | 2024-10-01 | N |
| Provide training in compliance and ethics. | Health | 2024-08-23 | 2024-10-01 | 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 | 2024-08-23 | 2024-09-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-23 | 2024-09-27 | 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 | 2024-08-23 | 2024-09-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-23 | 2024-09-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-23 | 2024-09-25 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-08-23 | 2024-09-25 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-08-23 | 2024-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-23 | 2024-09-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-23 | 2024-09-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-08-23 | 2024-09-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-23 | 2024-09-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-23 | 2024-09-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-23 | 2024-09-11 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-08 | 2022-07-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-08 | 2022-07-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-08 | 2022-07-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-08 | 2022-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-08 | 2022-06-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-08 | 2022-05-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-08 | 2022-05-04 | 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 | 2022-04-08 | 2022-05-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-08 | 2022-05-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-08 | 2022-05-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-08 | 2022-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-08 | 2022-05-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-08 | 2022-05-04 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-04-08 | 2022-05-04 | 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 | 2022-04-08 | 2022-05-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-08 | 2022-05-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-08 | 2022-05-04 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-04-08 | 2022-05-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-09 | 2020-01-03 | N |
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