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Deficiency Records for Edenbrook Pine Haven
View the most recent health deficiencies and inspection results for Edenbrook Pine Haven. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edenbrook Pine Haven. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-28 | 2025-10-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-28 | 2025-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-28 | 2025-10-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-08-28 | 2025-10-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-28 | 2025-10-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-08-28 | 2025-10-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-08-28 | 2025-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-28 | 2025-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-28 | 2025-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-28 | 2025-10-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-24 | 2025-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-24 | 2025-01-31 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-03 | 2024-11-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-03 | 2024-11-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-17 | 2024-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-17 | 2024-08-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-17 | 2024-08-26 | 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 | 2024-07-17 | 2024-08-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-17 | 2024-08-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-17 | 2024-08-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-17 | 2024-08-26 | 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 | 2024-07-17 | 2024-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-17 | 2024-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-17 | 2024-08-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-17 | 2024-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-23 | 2024-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-23 | 2024-01-17 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-24 | 2023-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-10-04 | 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 | 2023-08-24 | 2023-10-04 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-24 | 2023-10-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-08-24 | 2023-10-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-24 | 2023-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-24 | 2023-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-24 | 2023-10-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-24 | 2023-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-24 | 2023-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-24 | 2023-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-24 | 2023-10-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-24 | 2023-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-24 | 2023-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-24 | 2023-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-24 | 2023-09-22 | N |