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Deficiency Records for East End Health and Rehab Center

A list of the most recent deficiencies for East End Health 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 East End Health 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?
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-11-02 2023-11-30 N
Observe each nurse aide's job performance and give regular training. Health 2023-11-02 2023-11-30 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 2023-11-02 2023-11-30 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 2023-11-02 2023-11-30 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-11-02 2023-11-30 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2023-11-02 2023-11-30 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-11-02 2023-11-30 N
Provide and implement an infection prevention and control program. Health 2023-11-02 2023-11-30 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-02 2023-11-30 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-02 2023-11-30 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-11-02 2023-11-30 Y
Provide properly protected cooking facilities. Fire Safety 2023-10-26 2023-11-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-26 2023-11-14 N
Use approved construction type or materials. Fire Safety 2022-11-22 2022-12-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-11-22 2022-12-21 N
Install an approved automatic sprinkler system. Fire Safety 2022-11-22 2022-12-21 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-11-17 2022-12-14 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2022-11-17 2022-12-14 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-11-17 2022-12-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-22 2022-10-12 Y
Keep residents' personal and medical records private and confidential. Health 2021-11-18 2021-12-21 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 2021-11-18 2021-12-21 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2021-11-18 2021-12-21 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 2021-11-18 2021-12-21 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2021-11-22 2021-12-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-11-22 2021-12-09 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-11-22 2021-12-09 N

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