Deficiency Records for Eastgate Manor Nursing and Rehabilitation
Updated as of April 01, 2020
This is not the most recent data for Eastgate Manor Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Eastgate Manor Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-14 | 2019-04-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-14 | 2019-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-14 | 2019-04-13 | 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 | 2019-03-14 | 2019-04-13 | N |
| Post nurse staffing information every day. | Health | 2019-03-14 | 2019-04-13 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-03-14 | 2019-04-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-14 | 2019-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-14 | 2019-04-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-21 | 2019-03-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-15 | 2018-11-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-05 | 2018-03-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-03-05 | 2018-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-05 | 2018-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-05 | 2018-03-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-03-05 | 2018-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-05 | 2018-03-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-14 | 2018-03-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-02-14 | 2018-03-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-02-14 | 2018-03-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-14 | 2018-03-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-14 | 2018-03-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-14 | 2018-03-16 | 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 | 2018-02-14 | 2018-03-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-14 | 2018-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-14 | 2018-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-14 | 2018-03-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-02-14 | 2018-03-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-02-14 | 2018-03-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-02-14 | 2018-03-16 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2018-02-14 | 2018-03-16 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-05 | 2017-04-14 | N |
| Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2017-02-23 | 2017-03-24 | 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 | 2017-02-23 | 2017-03-24 | N |
