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Deficiency Records for Evenglow Lodge
View the most recent health deficiencies and inspection results for Evenglow Lodge. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Evenglow Lodge. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2024-09-05 | 2024-10-01 | 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 | 2024-09-05 | 2024-10-01 | N |
| Post nurse staffing information every day. | Health | 2024-09-05 | 2024-10-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-05 | 2024-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-05 | 2024-10-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-05 | 2024-10-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-05 | 2024-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-05 | 2024-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-05 | 2024-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-05 | 2024-09-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-05 | 2024-09-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-05 | 2024-09-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-29 | 2024-01-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-29 | 2024-01-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-29 | 2023-12-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-29 | 2023-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-29 | 2023-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-29 | 2023-12-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-29 | 2023-12-21 | 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 | 2023-11-29 | 2023-12-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-29 | 2023-12-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-29 | 2023-12-21 | 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 | 2023-11-29 | 2023-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-29 | 2023-12-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-29 | 2023-12-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-29 | 2023-12-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-29 | 2023-12-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-23 | 2022-11-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-23 | 2022-10-05 | N |