A list of the most recent deficiencies for Egle Nursing 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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Prepare residents for a safe transfer or discharge from the nursing home. | 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| 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 |
| 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 |
| 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 |
| Keep all essential equipment working safely. | Health | 2019-05-16 | 2019-06-29 | N |
| Meet other general requirements. | Fire Safety | 2019-05-23 | 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 | 2019-05-23 | 2019-06-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-23 | 2019-06-22 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2017-12-19 | 2018-02-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
| Meet other general requirements. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-12-19 | 2018-02-28 | 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 | 2017-12-19 | 2018-02-28 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-19 | 2018-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-19 | 2018-02-28 | 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 | 2017-12-14 | 2018-01-25 | 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 | 2017-12-14 | 2018-01-25 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2017-12-14 | 2018-01-25 | N |
| Keep all essential equipment working safely. | Health | 2017-12-14 | 2018-01-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-11 | 2017-02-28 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-11 | 2017-02-22 | N |
| Meet other general requirements. | Fire Safety | 2017-01-12 | 2017-02-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-01-12 | 2017-02-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-01-12 | 2017-02-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-01-12 | 2017-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-12 | 2017-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-12 | 2017-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-01-12 | 2017-02-20 | N |
