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Deficiency Records for Memory Care Center at Emerald

A list of the most recent deficiencies for Memory Care Center at Emerald. 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 Memory Care Center at Emerald. 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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-31 2024-06-28 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-14 2024-06-28 N
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 2024-05-14 2024-06-28 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 2024-05-14 2024-06-28 N
Ensure each resident receives an accurate assessment. Health 2024-05-14 2024-06-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-14 2024-06-28 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 2024-05-14 2024-06-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-14 2024-06-28 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-05-14 2024-06-28 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-05-14 2024-06-28 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-05-14 2024-06-28 N
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 2024-05-14 2024-06-28 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 2024-05-14 2024-06-28 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 2024-05-14 2024-06-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-14 2024-06-28 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2024-05-14 2024-06-28 N
Provide and implement an infection prevention and control program. Health 2024-05-14 2024-06-28 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-05-14 2024-06-28 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-05-14 2024-06-28 Y
Respond appropriately to all alleged violations. Health 2024-05-14 2024-06-28 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2023-10-17 2023-11-10 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-17 2023-11-10 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-07-13 2023-08-18 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 2023-07-13 2023-08-18 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 2023-07-13 2023-08-18 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 2023-04-03 2023-05-23 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-04-03 2023-05-23 N
Assess the resident when there is a significant change in condition Health 2023-04-03 2023-05-23 N
Ensure each resident receives an accurate assessment. Health 2023-04-03 2023-05-23 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-04-03 2023-05-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-04-03 2023-05-23 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 2023-04-03 2023-05-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-03 2023-05-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-03 2023-05-23 N
Provide enough food/fluids to maintain a resident's health. Health 2023-04-03 2023-05-23 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-04-03 2023-05-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-04-03 2023-05-23 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-04-03 2023-05-23 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-04-03 2023-05-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-03 2023-05-23 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-04-03 2023-05-23 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2023-04-03 2023-05-23 N
Provide a neutral and fair arbitration process and agree to arbitrator and venue. Health 2023-04-03 2023-05-23 N
Implement a program that monitors antibiotic use. Health 2023-04-03 2023-05-23 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 2023-04-03 2023-05-23 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-04-03 2023-05-23 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-04-03 2023-05-23 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-05-01 2023-05-23 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-05-01 2023-05-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-01 2023-05-23 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-05-01 2023-05-23 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-05-01 2023-05-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-05-30 2019-06-29 N
Provide and implement an infection prevention and control program. Health 2019-05-30 2019-06-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-05-23 2019-06-29 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-05-23 2019-06-29 N

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