CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Eastern Star Masonic Home
View the most recent health deficiencies and inspection results for Eastern Star Masonic Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Eastern Star Masonic Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-24 | 2025-05-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-04-24 | 2025-05-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2025-04-24 | 2025-05-15 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-04-24 | 2025-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-24 | 2025-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-24 | 2025-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-24 | 2025-05-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-04-24 | 2025-05-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-18 | 2024-08-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-18 | 2024-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-08-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-18 | 2024-08-01 | 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 | 2024-07-18 | 2024-08-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-18 | 2024-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-09 | 2024-04-29 | Y |
| 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 | 2024-04-09 | 2024-04-29 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-14 | 2023-10-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-14 | 2023-10-19 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-09-14 | 2023-10-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-14 | 2023-10-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-14 | 2023-10-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-14 | 2023-10-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-09-14 | 2023-10-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-14 | 2023-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-01 | 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 | 2023-09-14 | 2023-10-01 | 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 | 2023-09-14 | 2023-10-01 | 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 | 2023-09-14 | 2023-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-09-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-14 | 2023-09-26 | 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 | 2023-09-14 | 2023-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-14 | 2023-09-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-09-14 | 2023-09-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-14 | 2023-09-19 | N |