Deficiency Records for Eureka Rehabilitation and Wellness Center, LP
Updated as of March 01, 2024
A list of the most recent deficiencies for Eureka Rehabilitation and Wellness Center, LP. 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 bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2023-07-26 | 2023-10-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-12 | 2023-07-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-24 | 2023-07-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-11 | 2023-04-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-29 | 2023-04-24 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-29 | 2023-04-24 | Y |
| 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 | 2023-03-29 | 2023-04-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-02 | 2023-04-01 | 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 | 2023-02-01 | 2023-03-31 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-02-01 | 2023-03-31 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-02-01 | 2023-03-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-18 | 2023-02-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-10 | 2022-07-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-10 | 2022-07-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-10 | 2022-07-21 | 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 | 2022-06-10 | 2022-07-21 | 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 | 2022-06-10 | 2022-07-21 | 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 | 2022-06-10 | 2022-07-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-10 | 2022-07-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-06-10 | 2022-07-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-10 | 2022-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-07-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-10 | 2022-07-21 | N |
| Keep all essential equipment working safely. | Health | 2022-06-10 | 2022-07-21 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-06-10 | 2022-07-21 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-06-10 | 2022-07-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-10 | 2022-07-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-10 | 2022-07-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-10 | 2022-07-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-10 | 2022-07-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-10 | 2022-07-21 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-22 | 2022-07-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-22 | 2022-07-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-22 | 2022-07-11 | 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 | 2022-06-22 | 2022-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-22 | 2022-07-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-22 | 2022-07-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-22 | 2022-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-08 | 2022-03-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-08 | 2022-03-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-08 | 2022-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-11-16 | N |
| 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 | 2020-02-14 | 2020-05-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-14 | 2020-05-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-14 | 2020-05-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-14 | 2020-05-19 | 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 | 2020-02-14 | 2020-05-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-02-14 | 2020-05-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-02-14 | 2020-05-19 | 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 | 2020-02-14 | 2020-05-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-02-14 | 2020-05-19 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-02-14 | 2020-05-19 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2020-02-14 | 2020-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-14 | 2020-05-19 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-14 | 2020-05-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-14 | 2020-05-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-14 | 2020-05-19 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-02-14 | 2020-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-05-19 | N |
| Keep all essential equipment working safely. | Health | 2020-02-14 | 2020-05-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-14 | 2020-05-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-02-14 | 2020-05-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Use approved construction type or materials. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-19 | 2019-04-08 | 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 | 2019-02-11 | 2019-04-03 | N |
| 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 | 2019-02-11 | 2019-04-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-11 | 2019-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-11 | 2019-04-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-11 | 2019-04-03 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-11 | 2019-04-03 | N |
| Provide appropriate foot care. | Health | 2019-02-11 | 2019-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-11 | 2019-04-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-11 | 2019-04-03 | 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 | 2019-02-11 | 2019-04-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-11 | 2019-04-03 | 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 | 2019-02-11 | 2019-04-03 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-02-11 | 2019-04-03 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-02-11 | 2019-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-11 | 2019-04-03 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-02-11 | 2019-04-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-02-11 | 2019-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-11 | 2019-04-03 | N |
