Deficiency Records for Episcopal Church Home The Gardens
Updated as of May 01, 2018
This is not the most recent data for Episcopal Church Home The Gardens. For the most recent information, click here.
A list of the most recent deficiencies for Episcopal Church Home The Gardens. 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? |
|---|---|---|---|---|
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-03-01 | 2016-04-12 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-01 | 2016-04-12 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-03-01 | 2016-04-12 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-01 | 2016-04-12 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-03-01 | 2016-04-12 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-03 | 2016-04-12 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-03-03 | 2016-04-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-03 | 2016-04-12 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-03-03 | 2016-04-12 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-03-03 | 2016-04-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-03 | 2016-04-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-03 | 2016-04-12 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-03-03 | 2016-04-12 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-03-10 | 2015-04-15 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-03-10 | 2015-04-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-03-10 | 2015-04-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-03-10 | 2015-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-10 | 2015-04-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-03-10 | 2015-04-15 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-03-10 | 2015-04-15 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-03-10 | 2015-04-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-10 | 2015-04-15 | N |
