Deficiency Records for Eagleridge Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Eagleridge Health and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-08 | 2024-03-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-25 | 2024-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-02-25 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-25 | 2024-02-25 | N |
| Post nurse staffing information every day. | Health | 2024-01-25 | 2024-02-25 | 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 | 2024-02-25 | 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 | 2024-01-25 | 2024-02-25 | 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 | 2024-01-25 | 2024-02-25 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-01-25 | 2024-02-25 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-01-25 | 2024-02-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-25 | 2024-02-25 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-01-25 | 2024-02-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-23 | 2024-02-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-01-23 | 2024-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-07 | 2024-01-07 | Y |
| 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 | 2022-03-24 | 2022-06-29 | 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 | 2022-03-24 | 2022-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-24 | 2022-04-24 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-24 | 2022-04-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-24 | 2022-04-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-24 | 2022-04-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-24 | 2022-04-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-24 | 2022-04-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-03-24 | 2022-04-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-24 | 2022-04-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-22 | 2022-04-24 | N |
| Establish methods for sharing information. | Fire Safety | 2022-03-22 | 2022-04-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-03-22 | 2022-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-22 | 2022-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-22 | 2022-04-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-22 | 2022-02-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-22 | 2021-12-22 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2020-10-15 | 2020-11-14 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-10-15 | 2020-11-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-10-15 | 2020-11-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-10-15 | 2020-11-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-10-15 | 2020-11-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-15 | 2020-11-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-15 | 2020-11-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-10-15 | 2020-11-14 | 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 | 2020-10-15 | 2020-11-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-10-14 | 2020-11-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-14 | 2020-11-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-14 | 2020-11-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-10-14 | 2020-11-14 | N |
