A list of the most recent deficiencies for Eskridge Care and Rehab. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-27 | 2023-10-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-23 | 2023-06-27 | 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 | 2023-05-23 | 2023-06-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-23 | 2023-06-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-11 | 2023-06-16 | 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 | 2023-05-11 | 2023-06-16 | 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 | 2023-05-11 | 2023-06-16 | 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 | 2023-05-11 | 2023-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-06-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-11 | 2023-06-16 | Y |
| 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 | 2022-05-12 | 2022-06-10 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Use approved construction type or materials. | Fire Safety | 2021-11-10 | 2021-12-10 | 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 | 2021-11-10 | 2021-12-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-10 | 2021-12-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-09-30 | 2021-11-04 | 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 | 2021-09-30 | 2021-11-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-30 | 2021-11-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-30 | 2021-11-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-09-30 | 2021-11-04 | 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 | 2021-09-30 | 2021-11-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-30 | 2021-11-04 | 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 | 2021-09-30 | 2021-11-04 | 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 | 2021-09-30 | 2021-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-30 | 2021-11-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-09-30 | 2021-11-04 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-03-12 | 2021-04-09 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-03-12 | 2021-04-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-03-12 | 2021-03-11 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-04 | 2020-03-06 | 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 | 2020-02-04 | 2020-03-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-04 | 2020-03-06 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-04 | 2020-03-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-10 | 2020-01-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-12-10 | 2020-01-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-12-10 | 2020-01-07 | 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 | 2019-12-10 | 2020-01-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-10 | 2020-01-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-10 | 2020-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2020-01-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-10 | 2020-01-07 | N |
