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Deficiency Records for Corwin Center at Emerald Heights
A list of the most recent deficiencies for Corwin Center at Emerald Heights. 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 Corwin Center at Emerald Heights. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-05 | 2024-05-17 | 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 | 2024-04-05 | 2024-05-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-05 | 2024-05-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-04-05 | 2024-05-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-05 | 2024-05-17 | 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 | 2024-04-05 | 2024-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-05 | 2024-05-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-05 | 2024-05-17 | 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 | 2024-04-05 | 2024-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-05 | 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 | 2024-04-05 | 2024-05-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-05 | 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 | 2024-04-05 | 2024-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-05 | 2024-05-17 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-04-05 | 2024-05-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-04-02 | 2024-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-15 | 2024-01-08 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-12-15 | 2024-01-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2024-01-08 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-03 | 2023-02-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-04 | 2023-02-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-01-04 | 2023-02-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-01-04 | 2023-02-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-04 | 2023-02-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-04 | 2023-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-04 | 2023-02-17 | 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 | 2023-01-04 | 2023-02-17 | N |
| 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 | 2023-01-04 | 2023-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-04 | 2023-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-04 | 2023-02-17 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-03 | 2023-02-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-03 | 2023-02-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-03 | 2023-02-08 | N |
| Meet other general requirements. | Fire Safety | 2023-01-03 | 2023-02-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-03 | 2023-02-07 | N |
| 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 | 2023-01-03 | 2023-02-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-03 | 2023-02-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-03 | 2023-02-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-03 | 2023-02-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-03 | 2023-02-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-03 | 2023-02-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-03 | 2023-02-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-01-03 | 2023-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-03 | 2023-02-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-03 | 2023-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-26 | 2022-09-23 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-07-26 | 2022-09-23 | 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 | 2022-04-13 | 2022-05-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-13 | 2022-05-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-03 | 2019-07-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-03 | 2019-07-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-03 | 2019-07-18 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-03 | 2019-07-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-03 | 2019-07-18 | N |
| 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 | 2019-06-03 | 2019-07-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-03 | 2019-07-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-06-03 | 2019-07-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-06-03 | 2019-07-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-03 | 2019-07-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-03 | 2019-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-03 | 2019-07-18 | N |
| 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 | 2019-06-03 | 2019-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-03 | 2019-07-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-03 | 2019-07-18 | N |
| Post nurse staffing information every day. | Health | 2019-06-03 | 2019-07-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-21 | 2019-06-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-21 | 2019-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-21 | 2019-06-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-21 | 2019-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-21 | 2019-06-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-21 | 2019-06-25 | N |
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