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Deficiency Records for Embassy of Lebanon
A list of the most recent deficiencies for Embassy of Lebanon. 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 Lebanon. 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 and implement an infection prevention and control program. | Health | 2024-08-07 | 2024-08-29 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-10-06 | 2023-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-23 | 2023-09-21 | 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 | 2022-10-12 | 2023-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-12 | 2023-01-03 | N |
| 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 | 2022-10-12 | 2023-01-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-12 | 2023-01-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-12 | 2023-01-03 | Y |
| 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 | 2022-10-06 | 2023-01-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-06 | 2023-01-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-12 | 2022-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-12 | 2022-08-22 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-07-08 | 2022-08-22 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-07-08 | 2022-08-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-08 | 2022-08-22 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-21 | 2022-04-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-02 | 2021-12-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-07 | 2021-10-22 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-10-30 | 2019-12-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-30 | 2019-12-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-31 | 2019-12-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-31 | 2019-12-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-31 | 2019-12-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-31 | 2019-12-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-12-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-31 | 2019-12-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-31 | 2019-12-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-31 | 2019-12-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-31 | 2019-12-24 | N |
| Provide or obtain dental services for each resident. | Health | 2019-10-31 | 2019-12-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-12-24 | 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 | 2019-10-30 | 2019-12-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-30 | 2019-12-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-30 | 2019-12-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-30 | 2019-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-30 | 2019-12-24 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-10-31 | 2019-12-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-09 | 2018-09-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-09 | 2018-09-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-09 | 2018-09-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-09 | 2018-09-07 | 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 | 2018-08-09 | 2018-09-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-09 | 2018-09-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-09 | 2018-09-07 | 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 | 2018-08-09 | 2018-09-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-09 | 2018-09-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-09 | 2018-09-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-09 | 2018-09-07 | 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 | 2018-08-09 | 2018-09-07 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-08-09 | 2018-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-06 | 2018-09-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-06 | 2018-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-06 | 2018-09-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-06 | 2018-09-07 | N |
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