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Deficiency Records for Eagle Pass Nursing and Rehabilitation
A list of the most recent deficiencies for Eagle Pass Nursing and Rehabilitation. 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 Eagle Pass Nursing and Rehabilitation. 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 and implement an infection prevention and control program. | Health | 2024-04-17 | 2024-05-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-04-17 | 2024-05-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-17 | 2024-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-17 | 2024-05-07 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-04-17 | 2024-05-06 | N |
| Provide training in compliance and ethics. | Health | 2024-04-17 | 2024-05-06 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-04-17 | 2024-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-17 | 2024-04-18 | 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 | 2024-04-17 | 2024-04-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-17 | 2024-04-18 | N |
| Dispose of garbage and refuse properly. | Health | 2024-04-17 | 2024-04-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-17 | 2024-04-18 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-17 | 2024-04-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-17 | 2024-04-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-01 | 2024-04-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-01 | 2024-04-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-10 | 2024-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-10 | 2024-02-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-10 | 2024-02-11 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-02-10 | 2024-02-11 | Y |
| Post nurse staffing information every day. | Health | 2024-02-10 | 2024-02-11 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-02-10 | 2024-02-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-10 | 2024-02-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-23 | 2023-03-27 | 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 | 2023-02-23 | 2023-03-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-23 | 2023-03-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-23 | 2023-03-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-23 | 2023-02-25 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-12-15 | 2021-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-15 | 2021-12-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-15 | 2021-12-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-15 | 2021-12-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-15 | 2021-12-16 | N |
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