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Deficiency Records for The Eleanor Nursing Care Center
A list of the most recent deficiencies for The Eleanor Nursing Care 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 The Eleanor Nursing Care 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? |
|---|---|---|---|---|
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2024-01-29 | 2024-04-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-29 | 2024-04-02 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-01-29 | 2024-04-02 | Y |
| 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 | 2024-01-29 | 2024-04-02 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-01-29 | 2024-04-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-29 | 2024-04-02 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-01-29 | 2024-04-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-11-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-04 | 2023-07-20 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-06-04 | 2023-07-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-09 | 2023-04-14 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-08-02 | 2023-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-08 | 2022-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-08 | 2022-12-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-02 | 2022-11-01 | 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 | 2022-08-02 | 2022-10-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-02 | 2022-10-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-02 | 2022-09-25 | 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 | 2022-08-02 | 2022-09-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-08-02 | 2022-09-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-02 | 2022-09-16 | 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 | 2022-08-02 | 2022-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-02 | 2022-09-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-02 | 2022-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-02 | 2022-09-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-02 | 2022-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-02 | 2022-09-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-02 | 2022-09-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-30 | 2019-11-27 | 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 | 2019-09-30 | 2019-11-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-09-30 | 2019-11-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-30 | 2019-11-27 | 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 | 2019-09-30 | 2019-11-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-30 | 2019-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-30 | 2019-11-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-30 | 2019-11-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-30 | 2019-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-30 | 2019-11-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-30 | 2019-11-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-09-30 | 2019-11-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-30 | 2019-11-27 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-09-16 | 2019-11-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-16 | 2019-11-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-09-16 | 2019-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-16 | 2019-11-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-16 | 2019-11-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-16 | 2019-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-16 | 2019-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-16 | 2019-11-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-16 | 2019-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-29 | 2018-02-28 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2017-12-29 | 2018-02-28 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2017-12-29 | 2018-02-19 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2017-12-29 | 2018-02-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-29 | 2018-02-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-29 | 2018-02-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2017-12-29 | 2018-02-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-12-29 | 2018-02-19 | 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 | 2017-12-29 | 2018-02-19 | 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 | 2017-12-29 | 2018-02-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-12-29 | 2018-02-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-29 | 2018-02-01 | N |
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