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Deficiency Records for Eskaton Village Care Center
A list of the most recent deficiencies for Eskaton Village Care 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 Eskaton Village Care 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-07-03 | 2024-07-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-01 | 2024-05-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Develop a communication plan. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-05 | 2024-04-04 | 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 | 2024-02-29 | 2024-03-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-29 | 2024-03-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-29 | 2024-03-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-29 | 2024-03-29 | 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 | 2024-02-29 | 2024-03-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-29 | 2024-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-29 | 2024-03-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-29 | 2024-03-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-29 | 2024-03-29 | 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 | 2024-02-29 | 2024-03-29 | 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 | 2024-02-29 | 2024-03-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-29 | 2024-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-03-29 | N |
| Keep all essential equipment working safely. | Health | 2024-02-29 | 2024-03-29 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-02-29 | 2024-03-29 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-23 | 2023-06-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-13 | 2023-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-13 | 2023-04-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-14 | 2022-05-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-14 | 2022-05-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-14 | 2022-05-07 | 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 | 2022-04-14 | 2022-05-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-14 | 2022-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-14 | 2022-05-07 | 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 | 2022-04-14 | 2022-05-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-14 | 2022-05-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-14 | 2022-05-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-14 | 2022-05-07 | N |
| Dispose of garbage and refuse properly. | Health | 2022-04-14 | 2022-05-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-14 | 2022-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-14 | 2022-05-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-19 | 2022-05-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-19 | 2022-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-03 | 2019-09-16 | 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 | 2019-08-08 | 2019-09-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-08 | 2019-09-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-08-08 | 2019-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-09-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-08-08 | 2019-09-04 | N |
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