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? |
|---|---|---|---|---|
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-26 | 2023-03-12 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-10-26 | 2022-12-29 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-10 | 2022-12-23 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-10-27 | 2022-12-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-27 | 2022-12-09 | 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 | 2022-10-27 | 2022-12-09 | N |
| Provide or obtain dental services for each resident. | Health | 2022-10-27 | 2022-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-27 | 2022-12-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-27 | 2022-11-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-26 | 2022-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-26 | 2022-11-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-10-26 | 2022-11-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-26 | 2022-11-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-26 | 2022-11-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-14 | 2021-08-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-14 | 2021-08-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-22 | 2021-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-22 | 2021-06-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-04-22 | 2021-06-14 | 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 | 2021-04-22 | 2021-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-22 | 2021-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-06-14 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-21 | 2021-06-14 | N |
| 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 |
| 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 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-25 | 2019-12-13 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-25 | 2019-12-13 | N |
| 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 | N |
| 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 | N |
| 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 | N |
| 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 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-25 | 2019-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-25 | 2019-12-13 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | 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 |
| 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 requirements for the installation and maintenance of electrical systems. | 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 |
| 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 | N |
