A list of the most recent deficiencies for The Springs of El Dorado. 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-28 | 2023-02-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-30 | 2023-01-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-30 | 2023-01-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-30 | 2023-01-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-30 | 2023-01-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-30 | 2023-01-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-30 | 2023-01-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-12-30 | 2023-01-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-30 | 2023-01-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-12-30 | 2023-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-30 | 2023-01-27 | N |
| Report COVID19 data to residents and families. | Health | 2022-12-30 | 2023-01-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-03 | 2022-03-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-03 | 2022-03-04 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-12-30 | 2022-01-24 | Y |
| 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 | 2021-09-03 | 2021-10-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-09-03 | 2021-10-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-09-03 | 2021-10-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-03 | 2021-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-03 | 2021-10-01 | 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 | 2021-08-18 | 2021-10-01 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-18 | 2021-08-18 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-02-14 | 2020-03-14 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2020-02-14 | 2020-03-14 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2020-02-14 | 2020-03-14 | 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 | 2020-02-14 | 2020-03-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-14 | 2020-03-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-14 | 2020-03-14 | 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 | 2020-02-14 | 2020-03-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-14 | 2020-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-03-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-14 | 2020-03-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-02-14 | 2020-03-14 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2020-02-14 | 2020-03-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-13 | 2020-03-14 | 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 | 2020-02-13 | 2020-03-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-13 | 2020-03-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-13 | 2020-03-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-14 | 2020-02-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-14 | 2020-02-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-02-14 | 2020-02-14 | N |
