A list of the most recent deficiencies for Ambassador Healthcare. 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 approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-05 | 2024-03-22 | 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 | 2024-02-20 | 2024-03-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide activities to meet all resident's needs. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-20 | 2024-03-19 | 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 | 2024-02-20 | 2024-03-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-20 | 2024-03-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-20 | 2024-03-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-05 | 2024-03-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-03-05 | 2024-03-19 | N |
| Develop a communication plan. | Fire Safety | 2024-03-05 | 2024-03-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-03-05 | 2024-03-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-05 | 2024-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-05 | 2024-03-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-05 | 2024-03-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-05 | 2024-03-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-05 | 2024-03-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-05 | 2024-03-19 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-03-05 | 2024-03-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-05 | 2024-03-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-05 | 2024-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-20 | 2024-03-04 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-02-20 | 2024-02-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-20 | 2024-02-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Develop a communication plan. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-12-13 | 2023-01-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-21 | 2022-12-17 | 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 | 2022-11-21 | 2022-12-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-07 | 2020-01-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-11-07 | 2019-12-26 | 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 | 2019-11-07 | 2019-12-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Have an externally vented heating system. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-07 | 2019-12-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-28 | 2019-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-28 | 2019-09-27 | N |
