Deficiency Records for Embassy Rehab and Care Center
Updated as of March 01, 2018
This is not the most recent data for Embassy Rehab and Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Embassy Rehab and Care 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? |
|---|---|---|---|---|
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-04 | 2017-10-23 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-04 | 2017-10-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-04 | 2017-10-23 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-04 | 2017-10-23 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-04-19 | 2017-05-12 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-13 | 2017-05-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-13 | 2017-05-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-13 | 2017-05-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-13 | 2017-05-07 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-04-19 | 2017-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-19 | 2017-05-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-19 | 2017-05-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-13 | 2017-04-27 | Y |
| 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 | 2017-04-19 | 2017-04-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-19 | 2017-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-19 | 2017-04-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-04-19 | 2017-04-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-19 | 2017-04-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-21 | 2017-03-09 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-21 | 2017-03-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-30 | 2016-11-30 | Y |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-03-18 | 2016-04-06 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-03-18 | 2016-04-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-10 | 2016-03-31 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-03-10 | 2016-03-31 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-03-17 | 2016-03-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-17 | 2016-03-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-17 | 2016-03-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-10-22 | 2015-11-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-08-06 | 2015-10-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-05-20 | 2015-10-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-06 | 2015-09-01 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2015-08-06 | 2015-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-25 | 2015-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-20 | 2015-09-01 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2015-05-20 | 2015-09-01 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-06-25 | 2015-07-15 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-06-25 | 2015-07-15 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-05-22 | 2015-06-26 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-05-22 | 2015-06-26 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-05-22 | 2015-06-26 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-05-22 | 2015-06-26 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-05-22 | 2015-06-26 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-05-22 | 2015-06-26 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2015-05-22 | 2015-06-26 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-05-22 | 2015-06-26 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-05-22 | 2015-06-26 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-05-22 | 2015-06-26 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-05-20 | 2015-06-20 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-05-20 | 2015-06-20 | 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 | 2015-05-20 | 2015-06-20 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-05-20 | 2015-06-20 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2015-05-20 | 2015-06-20 | N |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2015-05-20 | 2015-06-20 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2015-05-20 | 2015-06-20 | N |
