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Deficiency Records for Eddy Heritage House Nursing and Rehabilitation Ctr
A list of the most recent deficiencies for Eddy Heritage House Nursing and Rehabilitation Ctr. 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 Eddy Heritage House Nursing and Rehabilitation Ctr. 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-02-27 | 2024-05-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-27 | 2024-05-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-02-27 | 2024-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-27 | 2024-05-25 | 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 | 2024-02-27 | 2024-05-25 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-02-27 | 2024-04-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-27 | 2024-04-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-27 | 2024-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-27 | 2024-04-16 | 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 | 2024-02-27 | 2024-04-16 | N |
| Use approved construction type or materials. | Fire Safety | 2024-02-27 | 2024-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-27 | 2024-04-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-27 | 2024-04-11 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-02-27 | 2024-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-16 | 2022-03-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-14 | 2021-11-15 | N |
| Dispose of garbage and refuse properly. | Health | 2021-09-14 | 2021-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-14 | 2021-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-14 | 2021-10-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-09-14 | 2021-10-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-01 | 2019-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-01 | 2019-09-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-01 | 2019-09-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-01 | 2019-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-01 | 2019-09-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-08-01 | 2019-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-01 | 2019-09-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-08-01 | 2019-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-01 | 2019-09-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-01 | 2019-09-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-01 | 2019-09-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-26 | Not Fixed | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-26 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-26 | Not Fixed | Y |
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