A list of the most recent deficiencies for Ambassador Nursing and Rehab 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? |
|---|---|---|---|---|
| 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 | 2023-11-27 | 2023-12-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-27 | 2023-12-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-27 | 2023-12-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-27 | 2023-12-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-08 | 2023-10-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-08 | 2023-08-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-03 | 2023-08-21 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-08-03 | 2023-08-21 | 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 | 2023-08-03 | 2023-08-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-03 | 2023-08-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-03 | 2023-08-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-03 | 2023-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-03 | 2023-08-21 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-08-03 | 2023-08-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-03 | 2023-08-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-03 | 2023-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-08-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-03 | 2023-08-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-22 | 2023-08-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-22 | 2023-08-09 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-04-23 | 2023-05-09 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-04-14 | 2023-05-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-22 | 2023-02-07 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-15 | 2022-11-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-17 | 2022-10-21 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-15 | 2022-10-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-15 | 2022-10-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-15 | 2022-09-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-16 | 2022-09-28 | 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 | 2022-09-16 | 2022-09-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-16 | 2022-09-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-16 | 2022-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-16 | 2022-09-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-16 | 2022-09-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-16 | 2022-09-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-16 | 2022-09-28 | 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 | 2022-09-16 | 2022-09-28 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-09-16 | 2022-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-15 | 2022-09-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-15 | 2022-09-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-15 | 2022-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-15 | 2022-09-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-15 | 2022-09-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-15 | 2022-09-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-09-15 | 2022-09-27 | N |
| Use approved construction type or materials. | Fire Safety | 2022-09-15 | 2022-09-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-15 | 2022-09-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-15 | 2022-09-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-15 | 2022-09-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-15 | 2022-09-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-15 | 2022-09-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-15 | 2022-09-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-15 | 2022-09-17 | N |
| 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 | 2022-09-15 | 2022-09-16 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-09-15 | 2022-09-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-09-15 | 2022-09-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-29 | 2022-07-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-06 | 2022-07-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-24 | 2022-04-29 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-18 | 2022-03-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-17 | 2022-01-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-10 | 2021-11-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-10 | 2021-11-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-10 | 2021-11-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-10 | 2021-11-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-10 | 2021-11-26 | 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 | 2021-11-10 | 2021-11-26 | 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 | 2021-11-10 | 2021-11-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-10 | 2021-11-26 | 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 | 2021-11-10 | 2021-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-10 | 2021-11-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-10 | 2021-11-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-09 | 2021-09-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-09 | 2021-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-09 | 2021-09-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-09 | 2021-09-20 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-09-09 | 2021-09-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-09 | 2021-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-25 | 2021-08-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-09 | 2021-05-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-09 | 2021-05-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-26 | 2021-04-06 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-03-05 | 2021-03-26 | Y |
