Deficiency Records for Englewood Health and Rehabilitation Center
Updated as of August 01, 2020
This is not the most recent data for Englewood Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Englewood Health and Rehabilitation 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-24 | 2019-05-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-24 | 2019-05-31 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-04-24 | 2019-05-31 | 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 | 2019-04-24 | 2019-05-31 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-04-24 | 2019-05-31 | 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 | 2019-04-24 | 2019-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-24 | 2019-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-24 | 2019-05-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-24 | 2019-05-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-04-24 | 2019-05-31 | 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 | 2019-03-27 | 2019-04-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-27 | 2019-04-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-03-27 | 2019-04-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-27 | 2019-04-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-03-27 | 2019-04-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-27 | 2019-04-26 | 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 | 2019-03-27 | 2019-04-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-27 | 2019-04-26 | 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 | 2019-03-27 | 2019-04-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-03-27 | 2019-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-27 | 2019-04-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-27 | 2019-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-10-21 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2018-03-26 | 2018-04-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-26 | 2018-04-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-03-26 | 2018-04-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-03-26 | 2018-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-26 | 2018-04-22 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-03-26 | 2018-04-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-13 | 2018-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-13 | 2018-03-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-13 | 2018-03-15 | 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 | 2018-02-13 | 2018-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-13 | 2018-03-15 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-02-13 | 2018-03-15 | 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 | 2018-02-13 | 2018-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-13 | 2018-03-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-26 | 2017-10-26 | Y |
| 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 | 2017-02-01 | 2017-02-27 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-02-01 | 2017-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-01 | 2017-02-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-02-01 | 2017-02-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-01-10 | 2017-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-10 | 2017-02-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-10 | 2017-02-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-10 | 2017-02-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-10 | 2017-02-09 | N |
