Deficiency Records for Evangeline Oaks Guest House
Updated as of November 01, 2020
This is not the most recent data for Evangeline Oaks Guest House. For the most recent information, click here.
A list of the most recent deficiencies for Evangeline Oaks Guest House. 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 | 2019-09-09 | 2019-10-31 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-09-09 | 2019-10-31 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-09-09 | 2019-10-31 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2019-04-25 | 2019-05-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-25 | 2019-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-25 | 2019-05-24 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-25 | 2019-05-24 | 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 | 2019-04-25 | 2019-05-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-04-25 | 2019-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-05-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-04-25 | 2019-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-05-24 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-04-25 | 2019-05-24 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-04-25 | 2019-05-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-23 | 2019-05-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-03-27 | 2019-05-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-27 | 2019-05-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-27 | 2019-05-08 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-23 | 2019-04-24 | 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 | 2018-03-20 | 2018-04-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-03-20 | 2018-04-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-03-20 | 2018-04-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-03-20 | 2018-04-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-20 | 2018-04-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-22 | 2018-04-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-22 | 2018-04-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-22 | 2018-04-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-22 | 2018-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-22 | 2018-04-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-03-22 | 2018-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-05 | 2018-02-02 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-01-05 | 2018-02-02 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-01-05 | 2018-02-02 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-21 | 2018-01-03 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-17 | 2017-05-19 | 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 | 2017-03-24 | 2017-04-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-17 | 2017-04-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-03-17 | 2017-04-14 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-17 | 2017-04-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-17 | 2017-04-14 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-17 | 2017-04-14 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-17 | 2017-04-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-17 | 2017-04-14 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-03-17 | 2017-04-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-03-17 | 2017-04-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-03-24 | 2017-04-07 | N |
