A list of the most recent deficiencies for Emerald Nursing and Rehab Cozad. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-04 | 2023-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-04 | 2023-05-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-04 | 2023-05-10 | 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 | 2023-04-04 | 2023-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-04 | 2023-05-10 | 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 | 2023-03-31 | 2023-05-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-31 | 2023-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-31 | 2023-05-10 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-21 | 2022-06-03 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-01-13 | 2022-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-13 | 2022-02-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-13 | 2022-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-23 | 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 | 2022-01-13 | 2022-02-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-13 | 2022-02-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-13 | 2022-02-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-11-07 | 2019-12-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-07 | 2019-12-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-11-07 | 2019-12-22 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-11-07 | 2019-12-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-07 | 2019-12-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-07 | 2019-12-22 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-11-07 | 2019-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-07 | 2019-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-07 | 2019-12-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-07 | 2019-12-22 | 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 necessary and PRN use is limited. | Health | 2019-11-07 | 2019-12-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-07 | 2019-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-22 | 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 | 2019-11-07 | 2019-12-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-07 | 2019-12-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-11-05 | 2019-12-22 | 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 | 2019-11-05 | 2019-12-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-05 | 2019-12-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-05 | 2019-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-05 | 2019-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-05 | 2019-12-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-05 | 2019-12-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-05 | 2019-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-05 | 2019-12-22 | N |
