Deficiency Records for Embassy Rehab and Care Center
Updated as of March 01, 2022
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-26 | 2020-11-11 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-10-26 | 2020-11-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-10-26 | 2020-11-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-10-26 | 2020-11-11 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-10-26 | 2020-11-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-26 | 2020-11-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-26 | 2020-11-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-26 | 2020-11-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-26 | 2020-11-11 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-10-26 | 2020-11-11 | Y |
| 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 | 2019-09-18 | 2019-10-18 | 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 | 2019-09-18 | 2019-10-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-09-18 | 2019-10-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-09-18 | 2019-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-18 | 2019-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-19 | 2019-10-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-19 | 2019-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-19 | 2019-10-02 | 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 | 2019-09-19 | 2019-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-19 | 2019-09-21 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-09-18 | 2019-09-18 | Y |
| 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 |
| 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-04-19 | 2017-05-08 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 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 | 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 |
| 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 | 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 | 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 |
