Deficiency Records for The Episcopal Church Home
Updated as of June 01, 2022
This is not the most recent data for The Episcopal Church Home. For the most recent information, click here.
A list of the most recent deficiencies for The Episcopal Church Home. 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 each resident receives an accurate assessment. | Health | 2019-12-13 | 2020-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-13 | 2020-01-29 | 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 | 2019-12-13 | 2020-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-13 | 2020-01-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-13 | 2020-01-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-11 | 2020-01-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-11 | 2019-12-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-12-11 | 2019-12-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-10-05 | 2018-11-16 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-10-05 | 2018-11-16 | 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 | 2018-10-05 | 2018-11-16 | 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 | 2018-10-05 | 2018-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-05 | 2018-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-05 | 2018-11-16 | N |
| Keep all essential equipment working safely. | Health | 2018-10-05 | 2018-11-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-05 | 2018-11-16 | 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 | 2018-10-02 | 2018-11-16 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-10 | 2017-09-08 | N |
| Provide housekeeping and maintenance services. | Health | 2017-08-10 | 2017-09-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-10 | 2017-09-08 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-08-10 | 2017-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-10 | 2017-09-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-10 | 2017-09-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-10 | 2017-09-08 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-08-10 | 2017-09-08 | N |
| Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. | Fire Safety | 2017-08-08 | 2017-09-08 | N |
