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Deficiency Records for Evan Terrace Post Acute
A list of the most recent deficiencies for Evan Terrace Post Acute. 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 Evan Terrace Post Acute. 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 each resident receives an accurate assessment. | Health | 2024-04-19 | 2024-05-17 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-19 | 2024-05-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-19 | 2024-05-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-19 | 2024-05-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-19 | 2024-05-17 | 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 | 2024-04-19 | 2024-05-17 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-19 | 2024-05-17 | 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 | 2024-04-19 | 2024-05-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-19 | 2024-05-17 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-22 | 2024-05-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-20 | 2024-01-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-20 | 2024-01-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-20 | 2024-01-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-20 | 2024-01-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-20 | 2024-01-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-02 | 2023-10-26 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-02 | 2023-10-26 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-10-02 | 2023-10-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-02 | 2023-10-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-02 | 2023-10-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-16 | 2023-03-13 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-02-16 | 2023-03-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-16 | 2023-03-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-02-16 | 2023-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-16 | 2023-03-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-16 | 2023-03-13 | 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 | 2023-02-16 | 2023-03-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-16 | 2023-03-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-16 | 2023-03-13 | Y |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2023-02-09 | 2023-03-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-09 | 2023-01-03 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-12-09 | 2023-01-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-09 | 2023-01-03 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-12-09 | 2023-01-03 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-26 | 2022-12-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-16 | 2022-10-07 | Y |
| 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 | 2022-01-24 | 2022-02-09 | N |
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