A list of the most recent deficiencies for Eastview Manor Care Center. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-31 | 2023-10-15 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-05-19 | 2023-06-19 | Y |
| 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 | 2022-12-27 | 2023-01-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-21 | 2022-10-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-21 | 2022-08-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-22 | 2022-06-16 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-05-06 | 2022-06-15 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-20 | 2021-12-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-20 | 2021-10-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-20 | 2021-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-20 | 2021-10-11 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-05-20 | 2021-10-11 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-05-20 | 2021-10-11 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-05-20 | 2021-10-11 | 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 | 2021-05-20 | 2021-10-11 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-05-20 | 2021-10-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-20 | 2021-10-11 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-08-13 | 2021-10-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-20 | 2021-10-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-20 | 2021-10-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-20 | 2021-10-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-20 | 2021-10-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-20 | 2021-10-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-05-20 | 2021-10-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-20 | 2021-10-11 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-05-20 | 2021-08-13 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-05-20 | 2021-08-13 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-05-20 | 2021-08-13 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-05-20 | 2021-08-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-05-20 | 2021-08-13 | 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 | 2021-05-20 | 2021-08-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-20 | 2021-08-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-20 | 2021-08-13 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-05-20 | 2021-08-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-20 | 2021-08-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-20 | 2021-08-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-20 | 2021-08-13 | 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 | 2021-05-20 | 2021-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-20 | 2021-08-13 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2021-05-20 | 2021-08-13 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-05-20 | 2021-08-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-20 | 2021-08-13 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-20 | 2021-08-13 | Y |
| Provide immediate access to any resident. | Health | 2021-05-20 | 2021-08-13 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-20 | 2021-08-13 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-05-20 | 2021-08-13 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-05-20 | 2021-08-13 | 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 | 2021-05-20 | 2021-08-13 | 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 | 2021-05-20 | 2021-08-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-20 | 2021-08-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-20 | 2021-08-13 | Y |
| 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 | 2021-05-20 | 2021-08-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-20 | 2021-08-13 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-05-20 | 2021-08-13 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-05-20 | 2021-08-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-20 | 2021-08-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-20 | 2021-08-13 | 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 | 2021-05-20 | 2021-08-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-20 | 2021-08-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-20 | 2021-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-20 | 2021-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-20 | 2021-08-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-20 | 2021-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-20 | 2021-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-20 | 2021-08-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-20 | 2021-08-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-05-20 | 2021-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-20 | 2021-08-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-05-20 | 2021-08-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-12 | 2020-05-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-03-12 | 2020-05-15 | 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 | 2020-03-12 | 2020-05-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-12 | 2020-05-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-12 | 2020-05-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-03-12 | 2020-05-15 | 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 | 2020-03-12 | 2020-05-15 | 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 | 2020-03-12 | 2020-05-15 | 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 | 2019-01-31 | 2019-03-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-01-31 | 2019-03-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-31 | 2019-03-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-31 | 2019-03-17 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-01-31 | 2019-03-17 | N |
| Keep all essential equipment working safely. | Health | 2019-01-31 | 2019-03-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-31 | 2019-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-31 | 2019-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-31 | 2019-03-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-31 | 2019-03-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-01-31 | 2019-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-31 | 2019-03-17 | N |
