CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Emerald Nursing and Rehabilitation Mercy
View the most recent health deficiencies and inspection results for Emerald Nursing and Rehabilitation Mercy. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Emerald Nursing and Rehabilitation Mercy. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-18 | 2025-11-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-07-28 | 2025-08-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-07-28 | 2025-08-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-28 | 2025-08-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-05 | 2025-06-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-05 | 2025-06-19 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-04-30 | 2025-06-11 | Y |
| 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 | 2025-04-17 | 2025-05-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-17 | 2025-05-21 | 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 | 2025-04-17 | 2025-05-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-20 | 2025-04-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-20 | 2025-04-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-20 | 2025-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-20 | 2025-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-20 | 2025-04-25 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-03-20 | 2025-04-25 | 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 | 2025-03-20 | 2025-04-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-20 | 2025-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-20 | 2025-04-25 | 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 | 2025-03-20 | 2025-04-18 | N |
| Use approved construction type or materials. | Fire Safety | 2025-03-20 | 2025-04-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-03-20 | 2025-04-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-20 | 2025-04-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-20 | 2025-04-18 | 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 | 2024-11-14 | 2024-12-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-14 | 2024-12-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-01 | 2024-10-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-23 | 2024-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-23 | 2024-08-22 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-23 | 2024-08-22 | 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 | 2024-07-23 | 2024-08-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-23 | 2024-08-22 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-02-15 | 2024-04-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-02-15 | 2024-04-15 | 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 | 2024-02-15 | 2024-04-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-15 | 2024-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-15 | 2024-04-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-15 | 2024-04-08 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-02-15 | 2024-04-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-15 | 2024-04-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-15 | 2024-04-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-02-15 | 2024-04-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-15 | 2024-04-08 | 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 | 2024-02-15 | 2024-03-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-15 | 2024-03-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-15 | 2024-03-31 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-02-15 | 2024-03-31 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-02-15 | 2024-03-31 | N |
| 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 | 2024-02-15 | 2024-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-15 | 2024-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-15 | 2024-03-31 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-02-15 | 2024-03-31 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-02-15 | 2024-03-31 | Y |
| 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 | 2024-02-15 | 2024-03-31 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-02-15 | 2024-03-31 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-07 | 2023-12-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-20 | 2023-10-20 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-09-20 | 2023-10-20 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-09-20 | 2023-10-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-08 | 2023-07-23 | Y |
| Install resident room doors of proper design and width. | Fire Safety | 2023-02-14 | 2023-05-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-14 | 2023-05-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-14 | 2023-05-12 | 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 | 2023-02-14 | 2023-05-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-14 | 2023-05-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-02-14 | 2023-05-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-14 | 2023-05-09 | 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 | 2023-02-14 | 2023-05-09 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-14 | 2023-05-09 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-14 | 2023-04-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-14 | 2023-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-14 | 2023-04-14 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-02-14 | 2023-04-13 | 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 | 2023-02-14 | 2023-03-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-14 | 2023-03-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-14 | 2023-03-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-02-14 | 2023-03-31 | 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 | 2023-02-14 | 2023-03-31 | 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 | 2023-02-14 | 2023-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-18 | Not Fixed | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-18 | Not Fixed | Y |
| 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 | 2026-03-18 | Not Fixed | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-18 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-18 | Not Fixed | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-03-18 | Not Fixed | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-03-18 | Not Fixed | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-03-18 | Not Fixed | Y |