A list of the most recent deficiencies for Excell Health Care Center. 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 medication error rates are not 5 percent or greater. | Health | 2022-12-21 | 2023-01-25 | 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 | 2022-12-21 | 2023-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-21 | 2023-01-25 | N |
| Use approved construction type or materials. | Fire Safety | 2023-01-03 | 2023-01-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-03 | 2023-01-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-03 | 2023-01-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-01-03 | 2023-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-03 | 2023-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-03 | 2023-01-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-03 | 2023-01-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-27 | 2020-02-18 | 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 | 2020-01-27 | 2020-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-27 | 2020-02-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-27 | 2020-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-27 | 2020-02-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-05 | 2019-12-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-05 | 2019-12-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-12-05 | 2019-12-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-05 | 2019-12-19 | 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 | 2019-12-05 | 2019-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2019-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-13 | 2018-12-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-13 | 2018-12-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-13 | 2018-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-13 | 2018-12-31 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-10-11 | 2018-11-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-11 | 2018-11-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-11 | 2018-11-11 | 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 | 2018-10-11 | 2018-11-11 | 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 | 2018-10-11 | 2018-11-11 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-10-11 | 2018-11-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-11 | 2018-11-11 | N |
