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Deficiency Records for Eastgate Village Care and Rehab Center

A list of the most recent deficiencies for Eastgate Village Care and Rehab Center. 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 Eastgate Village Care and Rehab Center. 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?
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-04-30 2024-05-22 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-04-30 2024-05-22 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-04-30 2024-05-22 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 2024-04-30 2024-05-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-04-30 2024-05-22 N
Provide enough food/fluids to maintain a resident's health. Health 2023-11-06 2023-12-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-11-06 2023-12-26 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-11-06 2023-12-26 Y
Assess the resident when there is a significant change in condition Health 2023-11-06 2023-12-26 Y
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Health 2023-11-06 2023-12-26 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-06 2023-12-26 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-11-06 2023-12-26 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-06 2023-12-26 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 2022-04-22 2022-06-07 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-04-22 2022-06-07 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 2022-04-22 2022-06-07 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-04-22 2022-06-07 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2022-04-22 2022-06-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-04-22 2022-06-07 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-04-22 2022-06-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-04-22 2022-06-07 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-04-22 2022-06-07 N
Have proper medical gas storage and administration areas. Fire Safety 2022-04-22 2022-06-07 N
Assess the resident when there is a significant change in condition Health 2022-04-22 2022-05-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-22 2022-05-27 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2022-04-22 2022-05-27 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2022-04-22 2022-05-27 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2022-04-22 2022-05-27 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2021-05-25 2021-07-07 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-05-25 2021-07-07 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-05-25 2021-07-07 N
Respond appropriately to all alleged violations. Health 2021-05-25 2021-07-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-25 2021-07-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-05-25 2021-07-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-25 2021-07-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-25 2021-07-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-25 2021-07-07 N
Provide enough food/fluids to maintain a resident's health. Health 2021-05-25 2021-07-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-05-25 2021-07-07 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 2021-05-25 2021-07-07 N
Ensure that residents are free from significant medication errors. Health 2021-05-25 2021-07-07 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2021-05-25 2021-07-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-25 2021-07-07 N
Provide and implement an infection prevention and control program. Health 2021-05-25 2021-07-07 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-05-18 2021-07-07 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-05-18 2021-07-07 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-05-18 2021-07-07 N

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