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Deficiency Records for Egle Nursing Home
View the most recent health deficiencies and inspection results for Egle Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Egle Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-10-09 | 2026-02-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-10-09 | 2025-12-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-10-09 | 2025-12-31 | N |
| Provide activities to meet all resident's needs. | Health | 2025-10-09 | 2025-12-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-10-09 | 2025-12-31 | 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 | 2025-10-09 | 2025-12-31 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-10-09 | 2025-12-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-10-09 | 2025-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-10-09 | 2025-12-31 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-10-09 | 2025-12-31 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2025-10-09 | 2025-12-31 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-10-09 | 2025-12-31 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-10-09 | 2025-12-31 | N |
| Respond appropriately to all alleged violations. | Health | 2025-10-09 | 2025-12-31 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-10-09 | 2025-12-31 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-10-09 | 2025-12-31 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-10-09 | 2025-12-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-10-09 | 2025-12-31 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-10-09 | 2025-12-31 | 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 | 2024-05-09 | 2024-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-09 | 2024-07-03 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2024-05-09 | 2024-07-03 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-05-09 | 2024-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-09 | 2024-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-09 | 2024-07-03 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-05-09 | 2024-07-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-09 | 2024-07-03 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-05-09 | 2024-07-03 | 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 | 2024-05-09 | 2024-07-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-09 | 2024-07-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-09 | 2024-07-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-09 | 2024-07-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-05-09 | 2024-07-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-09 | 2024-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-09 | 2024-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-09 | 2024-06-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-05-09 | 2024-06-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-09 | 2024-06-21 | N |
| Keep all essential equipment working safely. | Health | 2019-05-16 | 2019-06-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-16 | 2019-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-16 | 2019-06-29 | 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 | 2019-05-16 | 2019-06-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-05-16 | 2019-06-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-16 | 2019-06-29 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-05-16 | 2019-06-29 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-05-16 | 2019-06-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-16 | 2019-06-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-16 | 2019-06-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-16 | 2019-06-22 | 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 | 2019-05-16 | 2019-06-22 | N |
| Meet other general requirements. | Fire Safety | 2019-05-16 | 2019-06-22 | N |