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Deficiency Records for The Emerald Peek Rehabilitation and Nursing Center
View the most recent health deficiencies and inspection results for The Emerald Peek Rehabilitation and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Emerald Peek Rehabilitation and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-08 | 2025-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-08 | 2025-01-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-11-08 | 2025-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-08 | 2025-01-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-11-08 | 2025-01-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-08 | 2025-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-08 | 2025-01-10 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-11-08 | 2025-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-08 | 2025-01-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-11-08 | 2025-01-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-11-08 | 2025-01-10 | 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 | 2024-11-08 | 2025-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-08 | 2025-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-08 | 2025-01-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-08 | 2024-12-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-08 | 2024-12-30 | 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 | 2024-11-08 | 2024-12-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-11-08 | 2024-12-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-11-08 | 2024-12-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-08 | 2024-12-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-08 | 2024-12-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-11-08 | 2024-12-30 | 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 | 2024-11-08 | 2024-12-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-28 | 2024-10-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-28 | 2024-10-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-22 | 2024-05-13 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-22 | 2022-02-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-22 | 2022-02-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-12-22 | 2022-02-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-22 | 2022-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-22 | 2022-02-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-22 | 2022-02-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-22 | 2022-02-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-22 | 2022-02-18 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-12-22 | 2022-02-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-22 | 2022-02-18 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2021-12-22 | 2022-02-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-22 | 2022-02-18 | 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 | 2021-12-22 | 2022-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-22 | 2022-02-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-22 | 2022-02-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-22 | 2022-02-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-22 | 2022-02-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-22 | 2022-02-05 | 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 | 2021-12-22 | 2022-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-22 | 2022-02-05 | 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 | 2019-01-18 | 2019-03-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-18 | 2019-03-11 | 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 | 2019-01-18 | 2019-03-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-18 | 2019-03-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-18 | 2019-03-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-18 | 2019-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-18 | 2019-03-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-01-18 | 2019-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-18 | 2019-02-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-18 | 2019-02-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-18 | 2019-02-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-01-18 | 2019-02-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-01-18 | 2019-02-20 | 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 | 2019-01-18 | 2019-02-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-01-18 | 2019-02-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-01-18 | 2019-02-20 | N |