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Deficiency Records for Emanate Health Inter-Community Hospital- D/p Snf
A list of the most recent deficiencies for Emanate Health Inter-Community Hospital- D/p Snf. 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 Emanate Health Inter-Community Hospital- D/p Snf. 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? |
|---|---|---|---|---|
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-15 | 2024-06-05 | 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 | 2024-05-15 | 2024-06-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-15 | 2024-06-05 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-05-16 | 2024-06-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-16 | 2024-06-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-15 | 2024-06-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-15 | 2024-05-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-15 | 2024-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-15 | 2024-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-15 | 2024-05-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-05-16 | 2024-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-16 | 2024-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-16 | 2024-05-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-16 | 2024-05-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-18 | 2023-10-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-19 | 2023-06-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-05-19 | 2023-06-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-05-19 | 2023-06-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-05-19 | 2023-06-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-06-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-19 | 2023-06-02 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-14 | 2019-09-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-08-14 | 2019-09-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-14 | 2019-09-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-14 | 2019-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-14 | 2019-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-14 | 2019-09-23 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-08-13 | 2019-09-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-13 | 2019-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-13 | 2019-09-23 | N |
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