A list of the most recent deficiencies for Egret Cove 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-05 | 2022-06-05 | 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 | 2022-05-05 | 2022-06-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-27 | 2022-02-27 | Y |
| 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 | 2022-01-27 | 2022-02-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-15 | 2021-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-01-13 | 2021-02-12 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-01-13 | 2021-02-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-19 | 2019-10-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-19 | 2019-10-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-19 | 2019-10-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-19 | 2019-10-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-09-19 | 2019-10-19 | 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 | 2019-09-19 | 2019-10-19 | 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 | 2019-09-19 | 2019-10-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-17 | 2019-10-19 | N |
| Establish methods for sharing information. | Fire Safety | 2019-09-17 | 2019-10-19 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-09-17 | 2019-10-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-17 | 2019-10-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-17 | 2019-10-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-09-17 | 2019-10-19 | N |
