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Deficiency Records for Emerald Care Center Southwest LLC
A list of the most recent deficiencies for Emerald Care Center Southwest LLC. 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 Emerald Care Center Southwest LLC. 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 | 2024-06-17 | 2024-07-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-17 | 2024-06-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-17 | 2024-06-28 | 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 | 2024-03-06 | 2024-04-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-06 | 2024-04-01 | 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 | 2024-03-06 | 2024-04-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-06 | 2024-04-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-05 | 2024-03-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-05 | 2024-03-04 | 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 | 2024-02-05 | 2024-03-04 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-02-05 | 2024-03-04 | Y |
| 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 | 2024-02-05 | 2024-03-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-05 | 2024-03-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-18 | 2023-09-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-18 | 2023-09-27 | 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 | 2023-08-18 | 2023-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-18 | 2023-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-18 | 2023-09-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-18 | 2023-09-27 | 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 | 2023-08-18 | 2023-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-18 | 2023-09-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-18 | 2023-09-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-18 | 2023-09-27 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-18 | 2023-09-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-18 | 2023-09-27 | 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 | 2023-08-18 | 2023-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-16 | 2023-04-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-16 | 2023-04-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-20 | 2022-11-21 | Y |
| Have an externally vented heating system. | Fire Safety | 2021-12-17 | 2022-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-21 | 2022-02-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-21 | 2022-02-01 | 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 | 2021-12-21 | 2022-02-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-21 | 2022-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-17 | 2022-02-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-27 | 2020-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-04-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-02-27 | 2020-04-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-27 | 2020-04-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-26 | 2020-03-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-02-26 | 2020-03-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-26 | 2020-03-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-02-26 | 2020-03-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-26 | 2020-03-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-26 | 2020-03-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-26 | 2020-03-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-26 | 2020-03-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-26 | 2020-03-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-26 | 2020-03-09 | N |
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