A list of the most recent deficiencies for The Emeralds at Faribault LLC. 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 | 2024-02-08 | 2024-03-07 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-02-08 | 2024-03-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-08 | 2024-03-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-02-08 | 2024-03-07 | 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 | 2024-02-08 | 2024-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-08 | 2024-03-07 | 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 | 2024-02-08 | 2024-03-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-08 | 2024-03-07 | N |
| 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 | 2024-02-08 | 2024-03-07 | 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 | 2024-02-08 | 2024-03-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-08 | 2024-03-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-08 | 2024-03-07 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-07 | 2024-02-22 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-27 | 2023-08-23 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-02 | 2023-01-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-01 | 2023-01-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-01 | 2023-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-01 | 2023-01-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-12-01 | 2023-01-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-01 | 2023-01-10 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-01 | 2023-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-01 | 2023-01-10 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-12-01 | 2023-01-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-01 | 2023-01-10 | 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 | 2022-12-01 | 2023-01-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-01 | 2023-01-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-01 | 2023-01-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-01 | 2023-01-10 | N |
| Provide or obtain dental services for each resident. | Health | 2022-12-01 | 2023-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2023-01-04 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-01 | 2023-01-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-12-01 | 2022-12-30 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-12-01 | 2022-12-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-12-01 | 2022-12-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-02 | 2022-12-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-02 | 2022-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-02 | 2022-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-02 | 2022-12-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-09 | 2022-10-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-10 | 2022-08-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-10 | 2022-08-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-13 | 2022-05-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-02-03 | 2022-03-14 | 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 | 2022-02-03 | 2022-03-14 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-02-03 | 2022-03-14 | Y |
| 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 | 2022-01-11 | 2022-02-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-03 | 2022-01-26 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-08-18 | 2021-10-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-18 | 2021-10-01 | 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 | 2021-08-18 | 2021-10-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-18 | 2021-10-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-08-18 | 2021-10-01 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2021-08-18 | 2021-10-01 | 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 | 2021-08-18 | 2021-10-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-18 | 2021-10-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-06 | 2021-04-09 | Y |
