A list of the most recent deficiencies for Amberwood Care Centre. 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? |
|---|---|---|---|---|
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-07-07 | 2024-02-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-11 | 2024-01-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-11-16 | 2023-11-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-16 | 2023-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-16 | 2023-09-23 | 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 | 2023-08-30 | 2023-09-08 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-07-07 | 2023-08-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-07 | 2023-08-15 | 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 | 2023-07-07 | 2023-08-15 | 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 | 2023-07-07 | 2023-08-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-07 | 2023-08-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-07-07 | 2023-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-07 | 2023-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-07 | 2023-08-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-07 | 2023-08-15 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-07-07 | 2023-08-15 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-07-07 | 2023-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-07 | 2023-08-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-29 | 2023-07-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-29 | 2023-07-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-07-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-07-13 | 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 | 2023-06-29 | 2023-07-13 | 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 | 2023-06-29 | 2023-07-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-29 | 2023-07-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-29 | 2023-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-29 | 2023-07-13 | N |
| Keep all essential equipment working safely. | Health | 2023-01-04 | 2023-01-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-12 | 2022-10-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-05 | 2022-10-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-23 | 2022-08-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-10 | 2022-05-17 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-07 | 2022-04-29 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-04-07 | 2022-04-29 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-04-07 | 2022-04-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-04-07 | 2022-04-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-07 | 2022-04-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-07 | 2022-04-29 | 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 | 2022-04-07 | 2022-04-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-07 | 2022-04-29 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-04-07 | 2022-04-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-07 | 2022-04-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-07 | 2022-04-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-06 | 2022-04-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-06 | 2022-04-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-04-06 | 2022-04-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-06 | 2022-04-22 | N |
| Provide appropriate foot care. | Health | 2022-04-06 | 2022-04-22 | 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 | 2022-04-06 | 2022-04-22 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-04-06 | 2022-04-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-06 | 2022-04-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-06 | 2022-04-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-06 | 2022-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-06 | 2022-04-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-06 | 2022-04-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-06 | 2022-04-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-01 | 2021-12-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-29 | 2021-10-07 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-04-28 | 2021-05-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-04-28 | 2021-05-28 | N |
| Establish methods for sharing information. | Fire Safety | 2021-04-28 | 2021-05-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-28 | 2021-05-28 | 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 | 2021-04-28 | 2021-05-28 | 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 | 2021-04-28 | 2021-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-28 | 2021-05-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-04-28 | 2021-05-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-04-28 | 2021-05-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-04-28 | 2021-05-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-28 | 2021-05-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-21 | 2021-05-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-21 | 2021-05-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-21 | 2021-05-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-21 | 2021-05-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-21 | 2021-05-06 | 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 | 2021-04-21 | 2021-05-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-04-21 | 2021-05-06 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-04-21 | 2021-05-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-21 | 2021-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-21 | 2021-05-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-21 | 2021-05-06 | N |
