Deficiency Records for Eastland Subacute and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Eastland Subacute and Rehabilitation 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-12-12 | 2024-01-05 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-12-07 | 2023-12-29 | Y |
| 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 | 2023-12-07 | 2023-12-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-07 | 2023-12-29 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-10-05 | 2023-10-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-15 | 2023-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2023-09-14 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-16 | 2023-06-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-16 | 2023-06-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-15 | 2023-05-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-10 | 2023-02-08 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-01-10 | 2023-02-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-22 | 2022-10-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-05 | 2022-07-25 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-05-13 | 2022-06-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-22 | 2022-05-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-22 | 2022-05-10 | Y |
| 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 | 2022-04-22 | 2022-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-14 | 2022-04-19 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-03-11 | 2022-04-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-15 | 2022-03-25 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-12 | 2022-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-12 | 2022-02-18 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-14 | 2022-02-13 | 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 | 2022-01-14 | 2022-02-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-14 | 2022-02-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-02-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-14 | 2022-02-11 | 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 | 2022-01-14 | 2022-02-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-14 | 2022-02-11 | 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 | 2022-01-14 | 2022-02-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-14 | 2022-02-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-14 | 2022-02-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-02-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-11 | 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 | 2022-01-12 | 2022-02-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-12 | 2022-02-11 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-01-12 | 2022-02-11 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-01-12 | 2022-02-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-12 | 2022-02-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-12 | 2022-02-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-01-12 | 2022-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-12 | 2022-02-11 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2022-01-12 | 2022-02-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-29 | 2021-12-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-15 | 2021-04-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-03-11 | 2019-04-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-11 | 2019-04-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-11 | 2019-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-11 | 2019-04-15 | 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 | 2019-03-11 | 2019-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-11 | 2019-04-15 | 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 | 2019-03-11 | 2019-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-11 | 2019-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-11 | 2019-04-15 | N |
| Keep all essential equipment working safely. | Health | 2019-03-11 | 2019-04-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-11 | 2019-04-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-03-11 | 2019-04-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-13 | 2019-04-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-13 | 2019-04-01 | 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 | 2019-03-13 | 2019-04-01 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-03-13 | 2019-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-13 | 2019-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-13 | 2019-04-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-13 | 2019-04-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-13 | 2019-04-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-13 | 2019-04-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-03-19 | 2018-04-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-19 | 2018-04-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-03-19 | 2018-04-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-03-19 | 2018-04-16 | 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 | 2018-03-19 | 2018-04-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-03-19 | 2018-04-16 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-03-19 | 2018-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-19 | 2018-04-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-03-19 | 2018-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-19 | 2018-04-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-13 | 2018-04-10 | 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 | 2018-03-13 | 2018-04-10 | 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 | 2018-03-13 | 2018-04-10 | 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 | 2018-03-13 | 2018-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-13 | 2018-04-10 | 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 | 2018-03-13 | 2018-04-10 | N |
| Provide activities to meet all resident's needs. | Health | 2018-03-13 | 2018-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-13 | 2018-04-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-13 | 2018-04-10 | 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 | 2018-03-13 | 2018-04-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-13 | 2018-04-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-13 | 2018-04-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-13 | 2018-04-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-13 | 2018-04-10 | 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 | 2018-03-13 | 2018-04-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-13 | 2018-04-10 | 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 | 2018-03-13 | 2018-04-10 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-03-13 | 2018-04-10 | N |
| Provide or obtain dental services for each resident. | Health | 2018-03-13 | 2018-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-13 | 2018-04-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-03-13 | 2018-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-13 | 2018-04-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-03-13 | 2018-04-10 | N |
