A list of the most recent deficiencies for Emerald Trace. 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 | 2023-12-15 | 2024-01-16 | Y |
| 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 | 2023-12-15 | 2024-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2024-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-15 | 2024-01-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-15 | 2024-01-16 | Y |
| 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 | 2023-11-27 | 2023-12-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-11-27 | 2023-12-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-27 | 2023-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-27 | 2023-12-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-27 | 2023-12-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-27 | 2023-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-27 | 2023-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-01 | 2021-10-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-30 | 2019-07-11 | 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 | 2019-05-30 | 2019-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-29 | 2019-07-09 | N |
