Deficiency Records for Soldiers and Sailors Memorial Hospital E C U
Updated as of April 01, 2024
A list of the most recent deficiencies for Soldiers and Sailors Memorial Hospital E C U. 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? |
|---|---|---|---|---|
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2022-09-30 | 2022-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-30 | 2022-11-21 | N |
| Post nurse staffing information every day. | Health | 2022-09-30 | 2022-11-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-30 | 2022-11-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-30 | 2022-11-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-30 | 2022-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-30 | 2022-11-01 | N |
| 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 | 2019-11-22 | 2020-01-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-11-22 | 2020-01-20 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-11-22 | 2020-01-20 | 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 | 2019-11-22 | 2020-01-20 | 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 | 2019-11-22 | 2020-01-20 | 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 | 2019-11-22 | 2020-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-22 | 2020-01-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-04-06 | 2018-06-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-06 | 2018-06-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-04-06 | 2018-06-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-04-06 | 2018-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-06 | 2018-06-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-06 | 2018-06-04 | 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 | 2018-04-06 | 2018-06-04 | 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 | 2018-04-06 | 2018-06-04 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-06 | 2018-06-04 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-04-06 | 2018-06-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-06 | 2018-06-04 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-04-06 | 2018-06-04 | N |
