A list of the most recent deficiencies for Center at Eden Hill, LLC. 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? |
|---|---|---|---|---|
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-06-29 | 2023-07-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-29 | 2023-07-17 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-06-23 | 2023-07-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-19 | 2022-01-14 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-11-19 | 2022-01-14 | 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 | 2021-11-19 | 2022-01-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-19 | 2022-01-14 | 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 | 2021-11-19 | 2022-01-14 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-11-19 | 2022-01-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-19 | 2022-01-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-19 | 2022-01-14 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-11-19 | 2022-01-14 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-11-19 | 2022-01-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-19 | 2022-01-14 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-08-13 | 2021-09-17 | 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 | 2021-08-13 | 2021-09-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-13 | 2021-09-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-13 | 2021-09-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-13 | 2021-09-17 | 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 | 2021-08-13 | 2021-09-17 | 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 | 2021-08-13 | 2021-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-13 | 2021-09-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-13 | 2021-09-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-08-13 | 2021-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-13 | 2021-09-17 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-08-13 | 2021-09-17 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-08-13 | 2021-09-17 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-13 | 2021-09-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-08 | 2020-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-08 | 2020-01-31 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2020-01-10 | 2020-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-10 | 2020-01-30 | N |
