A list of the most recent deficiencies for Excel Care 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-25 | 2024-02-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-01-25 | 2024-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-25 | 2024-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-02-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-24 | 2022-03-18 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-24 | 2022-03-18 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-24 | 2022-03-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-14 | 2021-11-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-14 | 2021-11-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-10-14 | 2021-11-05 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-07-08 | 2021-08-08 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2020-01-31 | 2020-03-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-01-31 | 2020-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-31 | 2020-03-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-31 | 2020-03-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-31 | 2020-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-31 | 2020-03-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-31 | 2020-03-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-31 | 2020-03-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-28 | 2020-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-28 | 2020-03-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-28 | 2020-03-01 | N |
