Deficiency Records for Excel Care Center
Updated as of June 01, 2020
This is not the most recent data for Excel Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-12 | 2019-07-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-12 | 2019-07-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-06-12 | 2019-07-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-06-12 | 2019-07-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-12 | 2019-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-12 | 2019-07-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-12 | 2019-07-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-13 | 2019-07-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-13 | 2019-07-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-13 | 2019-07-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-13 | 2019-07-13 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2019-06-13 | 2019-07-13 | 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 ne | Health | 2019-06-13 | 2019-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-13 | 2019-07-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-13 | 2019-07-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-13 | 2019-07-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-11-30 | 2018-12-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-30 | 2018-12-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-11-30 | 2018-12-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-11-30 | 2018-12-30 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-30 | 2018-12-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-02 | 2018-12-02 | 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 | 2018-11-02 | 2018-12-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-02 | 2018-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-02 | 2018-12-02 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-11-02 | 2018-12-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-02 | 2018-12-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-05 | 2018-09-05 | Y |
| 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 ne | Health | 2018-05-03 | 2018-06-03 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-05-24 | 2017-06-24 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-24 | 2017-06-24 | Y |
