Deficiency Records for Amberwood Estates Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Amberwood Estates Nursing and Rehabilitation. 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? |
---|---|---|---|---|
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-06-09 | 2023-08-14 | Y |
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 | 2023-06-09 | 2023-07-19 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-09 | 2023-07-19 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-09 | 2023-07-19 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-03-24 | 2023-04-13 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-04-13 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-11-02 | 2023-04-13 | Y |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-11-02 | 2023-04-13 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-02 | 2023-04-13 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-09 | 2023-03-03 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-09 | 2023-03-03 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-02 | 2023-03-03 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-02 | 2023-03-03 | Y |
Respond appropriately to all alleged violations. | Health | 2022-11-02 | 2023-03-03 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-02 | 2023-03-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-02-17 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-02 | 2023-02-17 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-02 | 2023-02-09 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2022-09-09 | 2022-10-07 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-09 | 2022-10-07 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-09-09 | 2022-10-07 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-09 | 2022-10-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-09 | 2022-10-07 | N |
Provide and implement an infection prevention and control program. | Health | 2022-09-09 | 2022-10-07 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-09-09 | 2022-10-07 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-09 | 2022-10-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-09 | 2022-10-07 | Y |
Meet other general requirements. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2022-02-15 | 2022-03-25 | 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 | 2022-02-15 | 2022-03-25 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-15 | 2022-03-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-15 | 2022-03-25 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-15 | 2022-03-25 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-02-15 | 2022-03-25 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-15 | 2022-03-25 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-02-15 | 2022-03-25 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-02-15 | 2022-03-25 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-15 | 2022-03-25 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-02-15 | 2022-03-25 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-15 | 2022-03-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-15 | 2022-03-25 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-02-15 | 2022-03-25 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-15 | 2022-03-25 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-15 | 2022-03-25 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-02-15 | 2022-03-25 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-15 | 2022-03-25 | Y |
Implement emergency and standby power systems. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Install proper backup exit lighting. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-15 | 2022-03-25 | N |
Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-03-11 | Y |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-08-04 | 2022-02-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-04 | 2022-02-04 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-04 | 2021-11-04 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-04 | 2021-11-03 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-04 | 2021-11-03 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-23 | 2021-10-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-23 | 2021-10-28 | Y |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-08-04 | 2021-10-28 | N |
Ensure that residents are free from significant medication errors. | Health | 2021-08-04 | 2021-10-28 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-04 | 2021-10-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-04 | 2021-10-28 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-08-04 | 2021-10-28 | Y |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-04 | 2021-10-28 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-04 | 2021-10-28 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-04 | 2021-09-23 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-04 | 2021-09-10 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-08-04 | 2021-09-10 | N |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-08-04 | 2021-09-10 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-08-04 | 2021-09-10 | 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 | 2021-08-04 | 2021-09-10 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-04 | 2021-09-10 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-08-04 | 2021-09-10 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-08-04 | 2021-09-10 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-08-04 | 2021-09-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-04 | 2021-09-10 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-08-04 | 2021-09-10 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2021-08-04 | 2021-09-10 | 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 necessary and PRN use is limited. | Health | 2021-08-04 | 2021-09-10 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-04 | 2021-09-10 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-08-04 | 2021-09-10 | N |
Implement a program that monitors antibiotic use. | Health | 2021-08-04 | 2021-09-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-04 | 2021-09-10 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-04 | 2021-09-10 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-04 | 2021-09-10 | Y |
Use approved construction type or materials. | Fire Safety | 2021-08-04 | 2021-09-10 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-04 | 2021-09-10 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-08-04 | 2021-09-10 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-04 | 2021-09-10 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-04 | 2021-09-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-04 | 2021-09-10 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-04 | 2021-09-10 | N |
Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2021-08-04 | 2021-09-10 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-04 | 2021-09-10 | N |