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Deficiency Records for Embassy of Painesville
A list of the most recent deficiencies for Embassy of Painesville. 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 Painesville. 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? |
|---|---|---|---|---|
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-09-18 | 2024-11-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-18 | 2024-11-07 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-09-18 | 2024-10-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-18 | 2024-10-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-18 | 2024-10-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-09-18 | 2024-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-18 | 2024-10-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-18 | 2024-10-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-18 | 2024-10-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-18 | 2024-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-18 | 2024-10-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-18 | 2024-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-18 | 2024-10-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-18 | 2024-10-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-03 | 2023-10-12 | 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 | 2023-08-02 | 2023-08-18 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-02 | 2023-08-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-29 | 2023-07-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-07-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-18 | 2023-06-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-18 | 2023-06-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-24 | 2023-04-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-09 | 2023-01-25 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-01-09 | 2023-01-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-09 | 2023-01-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-03 | 2022-11-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-03 | 2022-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-03 | 2022-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-11-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-03 | 2022-11-29 | 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 | 2022-11-03 | 2022-11-29 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-11-03 | 2022-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-03 | 2022-11-29 | N |
| Dispose of garbage and refuse properly. | Health | 2022-11-03 | 2022-11-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-03 | 2022-11-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-03 | 2022-11-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-06 | 2022-11-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-06 | 2022-11-29 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-25 | 2022-11-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-25 | 2022-11-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-24 | 2022-02-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-24 | 2022-02-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-24 | 2022-02-18 | 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 | 2021-11-24 | 2022-02-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-24 | 2022-02-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-24 | 2022-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-24 | 2022-02-18 | 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 | 2021-11-24 | 2022-01-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-24 | 2022-01-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-24 | 2022-01-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-24 | 2022-01-24 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-11-24 | 2022-01-24 | Y |
| 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 | 2021-11-24 | 2022-01-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-24 | 2022-01-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-09 | 2019-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-09 | 2019-11-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-09 | 2019-11-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-09 | 2019-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-09 | 2019-11-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-09 | 2019-11-06 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-10-08 | 2019-11-06 | N |
| Establish methods for sharing information. | Fire Safety | 2019-10-08 | 2019-11-06 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-10-08 | 2019-11-06 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2019-10-08 | 2019-11-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-08 | 2019-11-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-08 | 2019-11-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-08 | 2019-11-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-08 | 2019-11-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-08 | 2019-11-06 | N |
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