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 |