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Deficiency Records for Emerald Hills Rehabilitation and Healthcare Center

A list of the most recent deficiencies for Emerald Hills Rehabilitation and Healthcare 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 Emerald Hills Rehabilitation and Healthcare 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?
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 2024-02-29 2024-03-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-02-29 2024-03-29 N
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Health 2024-02-29 2024-03-01 N
Ensure each resident receives an accurate assessment. Health 2024-02-29 2024-03-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-29 2024-03-01 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 2024-03-01 N
Honor each resident's preferences, choices, values and beliefs. Health 2024-01-09 2024-01-12 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-01-09 2024-01-12 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 2023-01-10 2023-02-10 N
Provide and implement an infection prevention and control program. Health 2023-01-12 2023-02-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-01-10 2023-02-03 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-01-12 2023-01-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-12 2023-01-16 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-01-12 2023-01-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-12 2023-01-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-01-12 2023-01-13 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 2023-01-10 2023-01-11 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2023-01-10 2023-01-11 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-01-10 2023-01-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-01 2022-09-02 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-09-01 2022-09-02 Y
Provide activities to meet all resident's needs. Health 2022-07-28 2022-08-23 Y
Provide and implement an infection prevention and control program. Health 2022-06-01 2022-06-29 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-03-28 2022-03-31 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 2022-03-28 2022-03-31 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-01-24 2022-01-31 Y
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-01-24 2022-01-31 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 2022-01-24 2022-01-31 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-11-03 2021-12-18 N
Establish emergency prep training and testing. Fire Safety 2021-11-03 2021-12-18 N
Establish staff and initial training requirements. Fire Safety 2021-11-03 2021-12-18 N
Conduct testing and exercise requirements. Fire Safety 2021-11-03 2021-12-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-11-03 2021-12-18 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-11-04 2021-12-17 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-11-03 2021-12-02 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-11-03 2021-11-16 N
Provide and implement an infection prevention and control program. Health 2024-08-09 Not Fixed Y

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