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Deficiency Records for Edenbrook of Appleton North
A list of the most recent deficiencies for Edenbrook of Appleton North. 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 Edenbrook of Appleton North. 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? |
|---|---|---|---|---|
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-06-11 | 2024-09-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-11 | 2024-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-11 | 2024-08-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-11 | 2024-07-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-12 | 2024-07-12 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-06-12 | 2024-07-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-12 | 2024-07-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-12 | 2024-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-12 | 2024-07-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-12 | 2024-07-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-06-11 | 2024-07-12 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-06-11 | 2024-07-12 | 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 | 2024-06-11 | 2024-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-11 | 2024-07-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-11 | 2024-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-11 | 2024-07-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-11 | 2024-07-12 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-06-11 | 2024-07-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-11 | 2024-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-13 | 2023-12-13 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-24 | 2023-06-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-24 | 2023-06-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-05-24 | 2023-06-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-05-24 | 2023-06-23 | 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 | 2023-05-25 | 2023-06-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-25 | 2023-06-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-25 | 2023-06-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-25 | 2023-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-25 | 2023-06-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-25 | 2023-06-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-25 | 2023-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-25 | 2023-06-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-25 | 2023-06-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-21 | 2023-03-16 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-12-06 | 2023-01-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-06 | 2023-01-06 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-09 | 2022-07-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-09 | 2022-07-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-09 | 2022-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-09 | 2022-07-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-09 | 2022-07-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-09 | 2022-07-08 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-06-09 | 2022-07-08 | N |
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