Deficiency Records for Immanuel Campus of Care
Updated as of September 01, 2021
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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-01-22 | 2021-03-08 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-01-22 | 2021-03-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-14 | 2021-01-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-08 | 2020-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-05-19 | 2020-05-26 | 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 | 2020-03-11 | 2020-04-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-11 | 2020-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-11 | 2020-04-23 | 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 | 2020-03-11 | 2020-04-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-11 | 2020-04-23 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-03-11 | 2020-04-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-16 | 2020-01-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-16 | 2020-01-17 | Y |
| 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 necessary and PRN use is limited. | 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 | 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 | 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 |
