Deficiency Records for Ebenezer Integrated Care and Rehab
Updated as of April 01, 2020
This is not the most recent data for Ebenezer Integrated Care and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Ebenezer Integrated Care and Rehab. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2019-10-24 | 2019-12-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-24 | 2019-12-13 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2019-10-24 | 2019-12-13 | 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 | 2019-10-24 | 2019-12-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-10-24 | 2019-12-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-24 | 2019-12-13 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-10-25 | 2019-12-13 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-25 | 2019-12-13 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-25 | 2019-12-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-10-25 | 2019-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-25 | 2019-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-25 | 2019-12-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-25 | 2019-12-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-25 | 2019-12-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-10-25 | 2019-12-13 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-10-25 | 2019-12-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-25 | 2019-12-13 | 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 | 2019-10-25 | 2019-12-13 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-25 | 2019-12-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-25 | 2019-12-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-25 | 2019-12-13 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-10-25 | 2019-12-13 | 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 | 2019-10-25 | 2019-12-12 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-11-16 | 2018-12-26 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-11-16 | 2018-12-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-16 | 2018-12-26 | N |
| Respond appropriately to all alleged violations. | Health | 2018-11-16 | 2018-12-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-16 | 2018-12-26 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-16 | 2018-12-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-16 | 2018-12-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-16 | 2018-12-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-16 | 2018-12-26 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-11-16 | 2018-12-26 | 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 ne | Health | 2018-11-16 | 2018-12-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-16 | 2018-12-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-11-16 | 2018-12-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-07-25 | 2018-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-26 | 2018-03-26 | Y |
| 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 | 2018-02-02 | 2018-03-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-02 | 2018-03-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-02 | 2018-03-26 | 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 | 2018-02-02 | 2018-03-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-02 | 2018-03-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-02 | 2018-03-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-02 | 2018-03-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-02-02 | 2018-03-26 | 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 ne | Health | 2018-02-02 | 2018-03-26 | N |
| Provide or obtain dental services for each resident. | Health | 2018-02-02 | 2018-03-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-02-02 | 2018-03-26 | N |
