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Deficiency Records for Epsom Healthcare Center
View the most recent health deficiencies and inspection results for Epsom Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Epsom Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-12 | 2026-04-24 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2026-03-12 | 2026-04-24 | 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 | 2026-03-12 | 2026-04-24 | 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 | 2026-03-12 | 2026-04-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-12 | 2026-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-12 | 2026-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-12 | 2026-04-17 | 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 | 2026-03-12 | 2026-04-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2026-03-12 | 2026-04-17 | 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 | 2026-03-12 | 2026-04-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-12 | 2026-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-04 | 2025-03-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-04 | 2025-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-04 | 2025-03-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-04 | 2025-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-04 | 2025-03-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-04 | 2025-03-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-07 | 2024-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-07 | 2024-05-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-07 | 2024-05-30 | 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 | 2024-03-07 | 2024-05-30 | 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 | 2024-03-07 | 2024-03-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-07 | 2024-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-01 | 2023-06-16 | Y |