A list of the most recent deficiencies for Eastman Healthcare and Rehab. 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 exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-05-10 | 2023-06-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-10 | 2023-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-10 | 2023-06-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-07 | 2023-06-21 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-07 | 2023-06-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-07 | 2023-06-21 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-10 | 2023-06-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-05-10 | 2023-06-21 | N |
| Establish methods for sharing information. | Fire Safety | 2023-05-10 | 2023-06-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-10 | 2023-06-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-10 | 2023-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-10 | 2023-06-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-10 | 2023-06-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-10 | 2023-06-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-10 | 2023-06-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-10 | 2023-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-06 | 2022-02-20 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-01-06 | 2022-02-20 | 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 | 2022-01-06 | 2022-02-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-06 | 2022-02-20 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-01-06 | 2022-02-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-01-06 | 2022-02-20 | 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 | 2022-01-06 | 2022-02-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-06 | 2022-02-20 | N |
| Dispose of garbage and refuse properly. | Health | 2022-01-06 | 2022-02-20 | 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 | 2019-10-23 | 2020-01-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-10-23 | 2020-01-14 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2019-10-23 | 2019-12-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-23 | 2019-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-23 | 2019-12-07 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-10-23 | 2019-12-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-21 | 2019-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-21 | 2019-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-21 | 2019-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-21 | 2019-12-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-21 | 2019-12-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-21 | 2019-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-21 | 2019-12-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-10-21 | 2019-12-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-21 | 2019-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-21 | 2019-12-01 | N |
