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Deficiency Records for Embassy of Newark
A list of the most recent deficiencies for Embassy of Newark. 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 Embassy of Newark. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-28 | 2024-10-24 | 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 | 2024-08-28 | 2024-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-28 | 2024-10-24 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-28 | 2024-10-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-28 | 2024-10-24 | 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 | 2024-08-28 | 2024-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-28 | 2024-10-24 | N |
| 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 | 2024-08-28 | 2024-10-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-28 | 2024-10-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-08-28 | 2024-10-24 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-08-28 | 2024-10-24 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-08-28 | 2024-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-28 | 2024-10-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-28 | 2024-10-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-28 | 2024-10-24 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-08-28 | 2024-10-24 | Y |
| 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 | 2024-08-28 | 2024-10-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-28 | 2024-10-23 | 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 | 2024-08-28 | 2024-10-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-28 | 2024-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-28 | 2024-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-28 | 2024-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-28 | 2024-10-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-08-28 | 2024-10-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-08-28 | 2024-10-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-28 | 2024-10-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-28 | 2024-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-28 | 2024-10-23 | 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 | 2024-08-28 | 2024-10-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-14 | 2024-03-08 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-03-20 | 2023-03-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-09 | 2023-03-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-09 | 2023-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-09 | 2023-03-21 | 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 | 2023-02-09 | 2023-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-20 | 2023-03-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-19 | 2022-11-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-10-19 | 2022-11-15 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-10-19 | 2022-11-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-19 | 2022-11-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-19 | 2022-11-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-19 | 2022-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-19 | 2022-11-15 | 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 | 2022-10-19 | 2022-11-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-19 | 2022-11-15 | 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 | 2022-10-19 | 2022-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-19 | 2022-11-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-19 | 2022-11-15 | 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 | 2022-10-19 | 2022-11-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-19 | 2022-11-15 | 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 | 2022-10-19 | 2022-11-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-19 | 2022-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-19 | 2022-11-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-10-13 | 2022-11-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-13 | 2022-11-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-13 | 2022-11-15 | 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 | 2022-10-13 | 2022-11-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-13 | 2022-11-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-13 | 2022-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-29 | 2022-09-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-29 | 2022-09-01 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-08 | 2022-09-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-08 | 2022-09-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-06 | 2022-09-01 | 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 | 2022-07-06 | 2022-09-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-06 | 2022-09-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-03 | 2022-06-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-03 | 2022-06-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-03 | 2022-06-14 | 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 | 2022-03-21 | 2022-04-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-21 | 2022-04-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-21 | 2022-04-11 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-21 | 2022-04-11 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-02-14 | 2022-02-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-23 | 2022-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-29 | 2022-02-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-23 | 2022-02-01 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-11-23 | 2022-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-23 | 2022-02-01 | 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 | 2019-12-18 | 2020-01-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-12-18 | 2020-01-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-12-18 | 2020-01-28 | 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 | 2019-12-18 | 2020-01-28 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-12-18 | 2020-01-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-12-18 | 2020-01-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-18 | 2020-01-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-18 | 2020-01-28 | 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 | 2019-12-18 | 2020-01-28 | N |
| Provide or obtain dental services for each resident. | Health | 2019-12-18 | 2020-01-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-18 | 2020-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-18 | 2020-01-28 | N |
| Use approved construction type or materials. | Fire Safety | 2019-12-17 | 2020-01-28 | 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 | 2019-12-17 | 2020-01-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-17 | 2020-01-28 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-12-18 | 2020-01-14 | 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 | 2019-12-18 | 2020-01-14 | N |
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