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Deficiency Records for Eger Health Care and Rehabilitation Center
A list of the most recent deficiencies for Eger Health Care 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 Eger Health Care 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-28 | 2023-05-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-28 | 2023-05-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-28 | 2023-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-28 | 2023-05-22 | 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 | 2023-03-28 | 2023-05-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-28 | 2023-05-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-28 | 2023-05-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-28 | 2023-05-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-28 | 2023-05-22 | 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 | 2023-03-28 | 2023-05-22 | 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 | 2023-03-28 | 2023-05-22 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-28 | 2023-05-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-28 | 2023-05-22 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-28 | 2023-05-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-14 | 2023-05-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-14 | 2023-05-09 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-14 | 2023-05-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-19 | 2020-05-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-19 | 2020-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-19 | 2020-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-19 | 2020-04-16 | 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 | 2018-06-26 | 2018-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-26 | 2018-08-16 | N |
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