CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Empress Care Center, LLC
View the most recent health deficiencies and inspection results for Empress Care Center, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Empress Care Center, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2025-04-28 | 2025-05-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-28 | 2025-05-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-28 | 2025-05-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-04-28 | 2025-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-28 | 2025-05-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-04-28 | 2025-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-28 | 2025-05-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-04-28 | 2025-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-28 | 2025-05-01 | 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 | 2025-04-28 | 2025-05-01 | 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 | 2025-04-28 | 2025-05-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-04-28 | 2025-05-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-28 | 2025-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-28 | 2025-05-01 | 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 | 2025-04-28 | 2025-05-01 | 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 | 2025-04-28 | 2025-04-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-04-28 | 2025-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-28 | 2025-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-28 | 2025-04-28 | N |
| Keep all essential equipment working safely. | Health | 2025-04-28 | 2025-04-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-16 | 2024-10-31 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-22 | 2024-01-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-22 | 2023-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-22 | 2023-12-22 | 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 | 2023-12-22 | 2023-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-22 | 2023-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-22 | 2023-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-22 | 2023-12-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-22 | 2023-12-21 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-12-22 | 2023-12-21 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-12-22 | 2023-12-21 | 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 | 2023-12-22 | 2023-12-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-22 | 2023-12-20 | 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 | 2023-12-22 | 2023-12-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-22 | 2023-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-02 | 2022-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-02 | 2022-10-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-02 | 2022-10-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-02 | 2022-10-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-02 | 2022-10-02 | 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 | 2022-09-02 | 2022-10-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-02 | 2022-10-02 | 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 | 2022-09-02 | 2022-10-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-02 | 2022-10-02 | 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 | 2022-09-02 | 2022-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-02 | 2022-10-02 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-09-02 | 2022-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-02 | 2022-10-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-02 | 2022-10-02 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-09-02 | 2022-10-02 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-09-02 | 2022-10-02 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-09-02 | 2022-10-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-02 | 2022-09-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-09-02 | 2022-09-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-02 | 2022-09-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-02 | 2022-09-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-02 | 2022-09-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-02 | 2022-09-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-02 | 2022-09-26 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-09-02 | 2022-09-26 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-09-02 | 2022-09-26 | N |