A list of the most recent deficiencies for Glen Eagle 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-11 | 2023-05-16 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-24 | 2023-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-24 | 2023-04-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-24 | 2023-04-17 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-01-26 | 2023-03-12 | 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 | 2023-01-26 | 2023-03-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-03-12 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-24 | 2023-03-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-24 | 2023-03-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-01-24 | 2023-03-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-24 | 2023-03-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-24 | 2023-03-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-24 | 2023-03-12 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-01-24 | 2023-03-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-24 | 2023-03-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-24 | 2023-03-12 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-01-24 | 2023-03-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-24 | 2023-03-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-11-03 | 2023-01-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-03 | 2023-01-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-03 | 2023-01-09 | Y |
| Provide appropriate foot care. | Health | 2022-11-03 | 2023-01-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-03 | 2023-01-09 | Y |
| 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 | 2022-01-26 | 2022-03-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-20 | 2021-10-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-20 | 2021-10-04 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-08-20 | 2021-10-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-20 | 2021-10-04 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-08-20 | 2021-10-04 | N |
| Dispose of garbage and refuse properly. | Health | 2021-08-20 | 2021-10-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-08-20 | 2021-10-04 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-08-20 | 2021-10-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-20 | 2021-10-04 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-19 | 2021-10-04 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-09-27 | 2018-10-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-09-24 | 2018-10-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-09-24 | 2018-10-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-24 | 2018-10-12 | N |
