A list of the most recent deficiencies for Emporia Presbyterian Manor. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-29 | 2023-08-25 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-11 | 2023-02-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-11 | 2023-02-16 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-01-11 | 2023-02-16 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-11-22 | 2022-12-16 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-11-22 | 2022-12-16 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-11-22 | 2022-12-16 | 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 | 2022-11-22 | 2022-12-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-22 | 2022-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-22 | 2022-12-16 | N |
| 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 | 2022-11-22 | 2022-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-22 | 2022-12-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-11-22 | 2022-12-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-11-22 | 2022-12-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-22 | 2022-12-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-22 | 2022-12-16 | N |
| 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 | 2022-11-22 | 2022-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-22 | 2022-12-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-16 | 2021-10-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-16 | 2021-10-22 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-06-23 | 2021-07-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-23 | 2021-07-22 | 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 | 2021-06-23 | 2021-07-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-23 | 2021-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-23 | 2021-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-23 | 2021-07-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-23 | 2021-07-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-23 | 2021-07-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-23 | 2021-07-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-06-23 | 2021-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-23 | 2021-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-23 | 2021-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-10 | 2021-06-09 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-05-10 | 2021-06-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-10 | 2021-06-09 | 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 | 2021-05-10 | 2021-06-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-10 | 2021-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-10 | 2021-06-09 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-15 | 2019-11-10 | 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 | 2019-10-15 | 2019-11-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-15 | 2019-11-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-15 | 2019-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-15 | 2019-11-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-15 | 2019-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-15 | 2019-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-15 | 2019-11-10 | 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 | 2019-08-01 | 2019-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-01 | 2019-08-16 | N |
