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Deficiency Records for Encore at Wilmington
View the most recent health deficiencies and inspection results for Encore at Wilmington. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Encore at Wilmington. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-06-06 | 2025-07-16 | 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 | 2025-06-06 | 2025-07-16 | 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 | 2025-06-06 | 2025-07-16 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-06 | 2025-07-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-06 | 2025-07-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-02 | 2024-09-27 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-07-02 | 2024-09-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-02 | 2024-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-02 | 2024-09-17 | 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 | 2024-07-02 | 2024-09-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-02 | 2024-08-23 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-02 | 2024-08-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-07-02 | 2024-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-02 | 2024-08-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-07-02 | 2024-08-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-02 | 2024-08-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-07-02 | 2024-08-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-02 | 2024-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-02 | 2024-08-09 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-02 | 2024-08-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-02 | 2024-08-09 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-07-02 | 2024-08-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-02 | 2024-08-09 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-02 | 2024-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-02 | 2024-08-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-02 | 2024-08-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-02 | 2024-08-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-07-02 | 2024-08-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-02 | 2024-08-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-07-02 | 2024-08-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-02 | 2024-08-09 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-07-02 | 2024-08-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-02 | 2024-08-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-02 | 2024-08-09 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-08 | 2024-02-05 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-01-08 | 2024-02-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-08 | 2024-02-05 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-08 | 2024-02-05 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-01-08 | 2024-02-05 | Y |
| Assess the resident when there is a significant change in condition | Health | 2024-01-08 | 2024-02-05 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-01-08 | 2024-02-05 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-08 | 2024-02-05 | Y |
| 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 | 2024-01-08 | 2024-02-05 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-08 | 2024-02-05 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-01-26 | 2023-03-02 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-01-26 | 2023-02-21 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-26 | 2023-02-21 | N |
| Report COVID19 data to residents and families. | Health | 2023-01-26 | 2023-02-21 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-26 | 2023-02-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-26 | 2023-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-26 | 2023-02-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-01-26 | 2023-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-26 | 2023-02-21 | 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 | 2023-01-26 | 2023-02-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-26 | 2023-02-21 | 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 | 2023-01-26 | 2023-02-21 | N |
| Post nurse staffing information every day. | Health | 2023-01-26 | 2023-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-02-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-26 | 2023-02-21 | 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 | 2023-01-26 | 2023-02-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-26 | 2023-02-21 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-01-26 | 2023-02-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-26 | 2023-02-21 | 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 | 2023-01-26 | 2023-02-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-26 | 2023-02-21 | N |