Deficiency Records for Amberwood Estates Nursing and Rehabilitation
Updated as of September 01, 2019
This is not the most recent data for Amberwood Estates Nursing and Rehabilitation. For the most recent information, click here.
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? |
---|---|---|---|---|
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-27 | 2019-05-22 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-27 | 2019-05-22 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2019-03-27 | 2019-05-22 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-03-27 | 2019-05-22 | N |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-03-27 | 2019-05-22 | N |
Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-03-27 | 2019-05-22 | 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 | 2019-03-27 | 2019-05-22 | 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 | 2019-03-27 | 2019-05-22 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-27 | 2019-05-22 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-27 | 2019-05-22 | 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 | 2019-03-27 | 2019-05-22 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-03-27 | 2019-05-22 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-03-27 | 2019-05-22 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-03-27 | 2019-05-22 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-03-27 | 2019-05-22 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-03-27 | 2019-05-22 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-27 | 2019-05-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-27 | 2019-05-22 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-27 | 2019-05-22 | 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 | 2019-03-27 | 2019-05-22 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-03-27 | 2019-05-22 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-03-27 | 2019-05-22 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-03-27 | 2019-05-22 | N |
Post nurse staffing information every day. | Health | 2019-03-27 | 2019-05-22 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-03-27 | 2019-05-22 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-27 | 2019-05-22 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-27 | 2019-05-22 | 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 | 2019-03-27 | 2019-05-22 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-27 | 2019-05-22 | 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 | 2019-03-27 | 2019-05-22 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-03-27 | 2019-05-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-27 | 2019-05-22 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-27 | 2019-05-22 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-03-27 | 2019-05-22 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-27 | 2019-05-22 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-27 | 2019-05-14 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-27 | 2019-05-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-21 | 2018-07-16 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-21 | 2018-07-16 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-21 | 2018-07-16 | Y |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-21 | 2018-07-05 | 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 | 2018-05-21 | 2018-07-05 | N |
Have exits that are accessible at all times. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Install proper backup exit lighting. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-05-21 | 2018-07-05 | 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 | 2018-05-21 | 2018-07-05 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-21 | 2018-07-05 | N |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-05-21 | 2018-07-05 | 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 | 2018-05-21 | 2018-07-05 | 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 | 2018-05-21 | 2018-07-05 | N |
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-05-21 | 2018-07-05 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-21 | 2018-07-05 | N |
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2018-05-21 | 2018-07-05 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-05-21 | 2018-07-05 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-05-21 | 2018-07-05 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-05-21 | 2018-07-05 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-21 | 2018-07-05 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-05-21 | 2018-07-05 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-21 | 2018-07-05 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-05-21 | 2018-07-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-21 | 2018-07-05 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-21 | 2018-07-05 | N |
Provide and implement an infection prevention and control program. | Health | 2018-05-21 | 2018-07-05 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-21 | 2018-07-05 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-21 | 2018-07-05 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-21 | 2018-07-05 | Y |
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 | Health | 2018-05-21 | 2018-07-05 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-05-21 | 2018-07-05 | Y |
Observe each nurse aide's job performance and give regular training. | Health | 2018-05-21 | 2018-07-05 | Y |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-05-21 | 2018-07-05 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-09 | 2018-05-03 | Y |
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 | 2017-06-15 | 2017-08-08 | N |
Install proper backup exit lighting. | Fire Safety | 2017-06-15 | 2017-08-08 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-06-15 | 2017-08-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-15 | 2017-08-08 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-15 | 2017-08-08 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-15 | 2017-08-08 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-15 | 2017-07-30 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-06-15 | 2017-07-30 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2017-06-15 | 2017-07-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-15 | 2017-07-30 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-06-15 | 2017-07-30 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-15 | 2017-07-30 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-06-15 | 2017-07-30 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-15 | 2017-07-30 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-06-15 | 2017-07-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-15 | 2017-07-30 | N |
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2017-06-15 | 2017-07-30 | N |
Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-06-15 | 2017-07-30 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-15 | 2017-07-30 | N |
Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-06-15 | 2017-07-30 | N |