Deficiency Records for Eagle Rock Health and Rehabilitation of Casacadia
Updated as of October 01, 2016
This is not the most recent data for Eagle Rock Health and Rehabilitation of Casacadia. For the most recent information, click here.
A list of the most recent deficiencies for Eagle Rock Health and Rehabilitation of Casacadia. 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? |
|---|---|---|---|---|
| Try to resolve each resident's complaints quickly. | Health | 2015-03-30 | 2015-07-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-03-30 | 2015-07-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-03-30 | 2015-07-15 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-03-30 | 2015-07-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-03-30 | 2015-07-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-03-30 | 2015-07-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-03-30 | 2015-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-30 | 2015-07-15 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-03-30 | 2015-07-15 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-03-30 | 2015-07-15 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-03-30 | 2015-07-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-03-30 | 2015-07-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-03-30 | 2015-07-15 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-03-30 | 2015-07-15 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-03-30 | 2015-07-15 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-03-30 | 2015-07-15 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2015-03-30 | 2015-07-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-03-30 | 2015-07-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-03-30 | 2015-07-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-30 | 2015-07-15 | N |
| Keep all essential equipment working safely. | Health | 2015-03-30 | 2015-07-15 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-03-30 | 2015-07-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-03-30 | 2015-07-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-03-30 | 2015-07-15 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-03-30 | 2015-07-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-03-30 | 2015-07-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-03-30 | 2015-07-15 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-03-30 | 2015-07-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-03-30 | 2015-07-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-03-30 | 2015-07-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-03-30 | 2015-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-30 | 2015-07-15 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-03-30 | 2015-07-15 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-03-30 | 2015-07-15 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-03-30 | 2015-07-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-03-30 | 2015-07-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-03-30 | 2015-07-15 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-03-30 | 2015-07-15 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-03-30 | 2015-07-15 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-03-30 | 2015-07-15 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2015-03-30 | 2015-07-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-03-30 | 2015-07-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-03-30 | 2015-07-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-30 | 2015-07-15 | N |
| Keep all essential equipment working safely. | Health | 2015-03-30 | 2015-07-15 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-03-30 | 2015-07-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-03-30 | 2015-07-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-03-30 | 2015-07-15 | N |
| Approved construction type or materials. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Approved construction type or materials. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-12-02 | 2014-12-29 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2013-12-20 | 2014-02-12 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-12-20 | 2014-02-12 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2013-12-20 | 2014-02-12 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-12-20 | 2014-02-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-12-20 | 2014-02-12 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2013-12-20 | 2014-02-12 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2013-12-20 | 2014-02-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-12-20 | 2014-02-12 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2013-12-20 | 2014-02-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-12-20 | 2014-02-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2013-12-20 | 2014-02-12 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-12-20 | 2014-02-12 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-12-20 | 2014-02-12 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2013-12-20 | 2014-02-12 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2013-12-20 | 2014-02-12 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-12-20 | 2014-02-12 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2013-12-20 | 2014-02-12 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-12-20 | 2014-02-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-12-20 | 2014-02-12 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2013-12-20 | 2014-02-12 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2013-12-20 | 2014-02-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-12-20 | 2014-02-12 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2013-12-20 | 2014-02-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-12-20 | 2014-02-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2013-12-20 | 2014-02-12 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-12-20 | 2014-02-12 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-12-20 | 2014-02-12 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2013-12-20 | 2014-02-12 | Y |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| A written emergency evacuation plan. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| A written emergency evacuation plan. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2013-08-27 | 2013-10-01 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2012-12-14 | 2013-01-16 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2012-12-14 | 2013-01-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2012-12-14 | 2013-01-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2012-12-14 | 2013-01-16 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2012-12-14 | 2013-01-16 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2012-12-14 | 2013-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2012-12-14 | 2013-01-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2012-12-14 | 2013-01-16 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2012-12-14 | 2013-01-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2012-12-14 | 2013-01-16 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2012-12-14 | 2013-01-16 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2012-12-14 | 2013-01-16 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2012-12-14 | 2013-01-16 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2012-12-14 | 2013-01-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2012-12-14 | 2013-01-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2012-12-14 | 2013-01-16 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2012-12-14 | 2013-01-16 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2012-12-14 | 2013-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2012-12-14 | 2013-01-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2012-12-14 | 2013-01-16 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2012-12-14 | 2013-01-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2012-12-14 | 2013-01-16 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2012-12-14 | 2013-01-16 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2012-12-14 | 2013-01-16 | N |
| Approved construction type or materials. | Fire Safety | 2012-08-21 | 2012-09-10 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2012-08-21 | 2012-09-10 | N |
| Proper backup exit lighting. | Fire Safety | 2012-08-21 | 2012-09-10 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2012-08-21 | 2012-09-10 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2012-08-21 | 2012-09-10 | N |
| Approved construction type or materials. | Fire Safety | 2012-08-21 | 2012-09-10 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2012-08-21 | 2012-09-10 | N |
| Proper backup exit lighting. | Fire Safety | 2012-08-21 | 2012-09-10 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2012-08-21 | 2012-09-10 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2012-08-21 | 2012-09-10 | N |
