A list of the most recent deficiencies for Envive of Anderson. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-19 | 2023-09-20 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Meet other general requirements. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-08-01 | 2023-09-18 | 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 | 2023-08-01 | 2023-09-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-01 | 2023-09-18 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-07-14 | 2023-08-18 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-07-14 | 2023-08-18 | N |
| 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 | 2023-07-14 | 2023-08-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-07-14 | 2023-08-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-14 | 2023-08-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-14 | 2023-08-18 | 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 | 2023-07-14 | 2023-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-14 | 2023-08-18 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-07-14 | 2023-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-12 | 2023-05-13 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-20 | 2023-04-10 | Y |
| Provide appropriate foot care. | Health | 2023-03-20 | 2023-04-10 | 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 | 2023-01-24 | 2023-02-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-24 | 2023-02-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-24 | 2023-02-10 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-23 | 2022-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-23 | 2022-12-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-23 | 2022-12-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Meet other general requirements. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-23 | 2022-11-15 | 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 | 2022-09-23 | 2022-11-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-09-23 | 2022-11-15 | 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 | 2022-09-23 | 2022-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-09-23 | 2022-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-23 | 2022-11-15 | 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 | 2022-08-30 | 2022-09-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-30 | 2022-09-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-30 | 2022-09-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-08-30 | 2022-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-30 | 2022-09-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-30 | 2022-09-25 | 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 | 2022-08-30 | 2022-09-25 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-08-30 | 2022-09-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-30 | 2022-09-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-30 | 2022-09-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-27 | 2022-08-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-11 | 2022-07-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-01 | 2022-06-17 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-03-31 | 2022-04-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-04 | 2022-03-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-04 | 2022-03-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-03 | 2021-12-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-03 | 2021-12-10 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-10-15 | 2021-11-05 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-10-15 | 2021-11-05 | Y |
| Install proper backup exit lighting. | Fire Safety | 2021-07-26 | 2021-08-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-26 | 2021-08-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-26 | 2021-08-11 | 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 | 2021-07-26 | 2021-08-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-26 | 2021-08-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-26 | 2021-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-26 | 2021-08-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-26 | 2021-08-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-26 | 2021-08-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-26 | 2021-08-11 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-07-26 | 2021-08-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-26 | 2021-08-11 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-07-26 | 2021-08-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-26 | 2021-07-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-25 | 2021-07-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-06-25 | 2021-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-25 | 2021-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-25 | 2021-07-25 | N |
