A list of the most recent deficiencies for Ecumen North Branch. 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-27 | 2023-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-11-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-27 | 2023-11-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-09-27 | 2023-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-11-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-27 | 2023-11-13 | 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 | 2022-06-23 | 2022-08-05 | 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 | 2022-06-23 | 2022-08-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-23 | 2022-08-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-23 | 2022-08-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-23 | 2022-08-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-23 | 2022-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-23 | 2022-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-23 | 2022-08-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-02-12 | 2021-04-16 | 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 | 2021-02-12 | 2021-04-16 | N |
| 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 | 2021-02-12 | 2021-04-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-12 | 2021-04-16 | 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 | 2021-02-12 | 2021-04-16 | 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 | 2021-02-12 | 2021-04-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-12 | 2021-04-16 | 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 | 2021-02-12 | 2021-04-16 | 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 | 2021-02-10 | 2021-04-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-10 | 2021-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-10 | 2021-04-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-10 | 2021-04-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-10 | 2021-04-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-02-10 | 2021-04-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-10 | 2021-04-16 | N |
