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Deficiency Records for Embassy of Logan
A list of the most recent deficiencies for Embassy of Logan. 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 Logan. 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 | 2024-07-02 | 2024-07-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-04 | 2024-05-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-04 | 2024-05-03 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-04-04 | 2024-05-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-04 | 2024-05-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-04 | 2024-05-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-04 | 2024-05-03 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-04-04 | 2024-05-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-04 | 2024-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-02 | 2024-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-02 | 2024-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-02 | 2024-05-03 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-28 | 2023-08-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-28 | 2023-08-17 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-20 | 2023-08-17 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-06-20 | 2023-08-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-20 | 2023-08-17 | 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 | 2023-06-20 | 2023-08-17 | 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 | 2023-06-20 | 2023-08-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-20 | 2023-08-17 | 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 | 2023-06-20 | 2023-08-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-15 | 2023-08-17 | 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 | 2023-06-15 | 2023-08-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-15 | 2023-08-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-24 | 2023-05-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-04 | 2023-01-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-04 | 2023-01-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-03 | 2022-01-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-22 | 2021-12-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-22 | 2021-12-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-22 | 2021-12-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-26 | 2021-06-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-26 | 2021-06-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-26 | 2021-06-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-26 | 2021-06-17 | 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 | 2021-05-26 | 2021-06-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-26 | 2021-06-17 | N |
| Provide appropriate foot care. | Health | 2021-05-26 | 2021-06-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-26 | 2021-06-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-26 | 2021-06-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-26 | 2021-06-17 | 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 | 2021-05-26 | 2021-06-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-26 | 2021-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-26 | 2021-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-26 | 2021-06-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-05-26 | 2021-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-25 | 2021-06-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-25 | 2021-06-17 | N |
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