Deficiency Records for Englewood Post Acute and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Englewood Post Acute and Rehabilitation. 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? |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-21 | 2023-10-09 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-21 | 2023-08-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-21 | 2023-08-21 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-06 | 2023-07-03 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-06 | 2023-06-27 | N |
Keep residents' personal and medical records private and confidential. | Health | 2023-06-06 | 2023-06-27 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-06-06 | 2023-06-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-22 | 2021-06-08 | 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 | 2021-04-07 | 2021-04-23 | Y |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-02 | 2020-10-23 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-09-02 | 2020-10-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-02 | 2020-10-12 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-09-02 | 2020-10-06 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-02 | 2020-10-06 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-02 | 2020-10-06 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-09-02 | 2020-09-23 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-02 | 2020-09-23 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-09-02 | 2020-09-11 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-02 | 2020-09-03 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-03-10 | 2020-04-28 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-03-10 | 2020-04-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-10 | 2020-04-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-10 | 2020-04-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-10 | 2020-04-20 | N |
Provide and implement an infection prevention and control program. | Health | 2020-03-10 | 2020-04-20 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-03-29 | 2019-04-07 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-29 | 2019-04-04 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-05 | 2019-04-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-29 | 2019-03-31 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-29 | 2019-03-29 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-29 | 2019-03-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-29 | 2019-03-29 | N |
Provide activities to meet all resident's needs. | Health | 2019-03-05 | 2019-03-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-05 | 2019-03-25 | N |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-03-05 | 2019-03-25 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-03-05 | 2019-03-25 | N |