Deficiency Records for Encore Healthcare and Rehabi of Malvern
Updated as of March 01, 2024
A list of the most recent deficiencies for Encore Healthcare and Rehabi of Malvern. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-09 | 2023-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-12-08 | 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 | 2023-11-09 | 2023-12-08 | 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 | 2023-11-09 | 2023-12-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-09 | 2023-12-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-09 | 2023-12-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-09 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-09 | 2023-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-07 | 2023-12-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-10-27 | 2023-11-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-25 | 2022-09-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-25 | 2022-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-25 | 2022-09-16 | 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 | 2022-08-25 | 2022-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-25 | 2022-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-24 | 2022-09-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-11 | 2021-06-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-11 | 2021-06-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-06-11 | 2021-06-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-11 | 2021-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-11 | 2021-06-30 | N |
| Provide appropriate foot care. | Health | 2021-06-11 | 2021-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-11 | 2021-06-30 | 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 | 2021-06-11 | 2021-06-30 | 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 | 2021-06-11 | 2021-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-11 | 2021-06-30 | 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 | 2021-06-11 | 2021-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-11 | 2021-06-30 | N |
| Dispose of garbage and refuse properly. | Health | 2021-06-11 | 2021-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-11 | 2021-06-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-09 | 2021-06-30 | 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 | 2021-06-09 | 2021-06-30 | 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 | 2021-06-11 | 2021-06-11 | N |
