A list of the most recent deficiencies for Eaton County Medical Care Faci. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-06 | 2024-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-01 | 2023-11-28 | 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 | 2023-11-01 | 2023-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-01 | 2023-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-01 | 2023-11-28 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-11-01 | 2023-11-28 | Y |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2023-11-06 | 2023-11-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-06 | 2023-11-28 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-09-13 | 2022-12-27 | 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 | 2022-09-13 | 2022-10-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-09-15 | 2022-10-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-15 | 2022-10-17 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-12-07 | 2022-01-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-07 | 2022-01-10 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-12-07 | 2022-01-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-07 | 2022-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-07 | 2022-01-10 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-12-07 | 2022-01-10 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-12-07 | 2022-01-10 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-07 | 2022-01-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-04 | 2021-09-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-04 | 2021-09-06 | 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 | 2021-05-26 | 2021-07-23 | 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 | 2021-05-26 | 2021-07-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-26 | 2021-07-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-26 | 2021-07-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-26 | 2021-07-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-26 | 2021-07-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-26 | 2021-07-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-26 | 2021-07-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-26 | 2021-07-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-26 | 2021-07-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-05-26 | 2021-07-23 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-05-26 | 2021-07-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-26 | 2021-07-02 | 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 | 2021-05-26 | 2021-07-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-26 | 2021-07-02 | 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 | 2021-05-26 | 2021-07-02 | N |
