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Deficiency Records for Embassy Manor at Edison Nursing and Rehabilitation
View the most recent health deficiencies and inspection results for Embassy Manor at Edison Nursing and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Embassy Manor at Edison Nursing and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-05-12 | 2025-06-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-05-12 | 2025-06-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-12 | 2025-06-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-12 | 2025-06-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-12 | 2025-06-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-12 | 2025-06-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-05-12 | 2025-06-06 | 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 | 2025-05-12 | 2025-06-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-12 | 2025-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-12 | 2025-06-06 | 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 | 2025-05-12 | 2025-06-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-12 | 2025-06-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-12 | 2025-06-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-05-12 | 2025-06-06 | 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 | 2025-05-12 | 2025-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-12 | 2025-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-12 | 2025-06-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-05-12 | 2025-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-12 | 2025-06-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-12 | 2025-06-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-12 | 2025-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-12 | 2025-06-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-25 | 2024-08-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-10 | 2023-04-19 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-10 | 2023-03-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-10 | 2023-03-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-10 | 2023-03-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-03-10 | 2023-03-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-10 | 2023-03-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-10 | 2023-03-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-10 | 2023-03-14 | 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 | 2023-03-10 | 2023-03-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-10 | 2023-03-14 | 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 | 2023-03-10 | 2023-03-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-10 | 2023-03-14 | 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 | 2023-03-10 | 2023-03-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-10 | 2023-03-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-10 | 2023-03-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-10 | 2023-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-03-14 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-02-26 | 2021-04-16 | 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 | 2021-02-26 | 2021-04-16 | 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 | 2021-02-26 | 2021-04-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-02-26 | 2021-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-26 | 2021-04-05 | N |