Deficiency Records for Englewood Post Acute and Rehabilitation

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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