Deficiency Records for Embassy Rehab and Care Center
Updated as of November 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? |
|---|---|---|---|---|
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-07-02 | 2018-07-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-07-02 | 2018-07-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-02 | 2018-07-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-02 | 2018-07-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-06-28 | 2018-07-20 | 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 | 2018-06-28 | 2018-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-02 | 2018-07-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-02 | 2018-07-12 | 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 | 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 |
