Deficiency Records for Immanuel Campus of Care
Updated as of November 01, 2019
This is not the most recent data for Immanuel Campus of Care. For the most recent information, click here.
A list of the most recent deficiencies for Immanuel Campus of Care. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-20 | 2019-07-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-10 | 2019-02-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-01-10 | 2019-02-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-01-10 | 2019-02-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-10 | 2019-02-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-10 | 2019-02-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-10 | 2019-02-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-01-10 | 2019-02-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-01-10 | 2019-02-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-10 | 2019-02-24 | 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 ne | Health | 2019-01-10 | 2019-02-24 | 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 | 2019-01-10 | 2019-02-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-10 | 2019-02-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-01-10 | 2019-02-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-10 | 2019-02-24 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-09-22 | 2017-10-16 | N |
| Provide residents with private access to a telephone. | Health | 2017-09-22 | 2017-10-16 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-09-22 | 2017-10-16 | 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 | 2017-09-27 | 2017-10-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-09-27 | 2017-10-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-09-27 | 2017-10-13 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-17 | 2017-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-29 | 2017-08-25 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-09 | 2017-01-26 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-09 | 2017-01-26 | Y |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-08-23 | 2016-09-27 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-08-23 | 2016-09-27 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-23 | 2016-09-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-23 | 2016-09-27 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-08-25 | 2016-09-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-25 | 2016-09-23 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-25 | 2016-09-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-25 | 2016-09-23 | N |
