Deficiency Records for Essex Center For Rehabilitation and Healthcare
Updated as of May 01, 2021
This is not the most recent data for Essex Center For Rehabilitation and Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Essex Center For Rehabilitation and Healthcare. 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 and implement an infection prevention and control program. | Health | 2020-11-16 | 2020-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-09 | 2020-10-09 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-09-09 | 2020-10-09 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2020-08-26 | 2020-10-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-26 | 2020-10-09 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-08-12 | 2020-09-22 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-03-06 | 2020-05-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-06 | 2020-05-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-06 | 2020-05-06 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-03-06 | 2020-05-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-06 | 2020-05-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-03-06 | 2020-05-06 | 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 | 2020-03-06 | 2020-05-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-06 | 2020-05-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-22 | 2019-11-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-25 | 2019-03-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-25 | 2019-03-24 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-11-05 | 2019-01-04 | 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 | 2018-11-05 | 2019-01-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-05 | 2019-01-04 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-11-05 | 2019-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-05 | 2019-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-05 | 2019-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-05 | 2019-01-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-05 | 2019-01-04 | 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 | 2018-11-05 | 2019-01-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-05 | 2019-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-05 | 2019-01-04 | N |
| Dispose of garbage and refuse properly. | Health | 2018-11-05 | 2019-01-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-05 | 2019-01-04 | N |
| Keep all essential equipment working safely. | Health | 2018-11-05 | 2019-01-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-14 | 2018-09-07 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-06-14 | 2018-09-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-14 | 2018-07-31 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2018-06-14 | 2018-07-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-14 | 2018-07-31 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-14 | 2018-07-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-14 | 2018-07-31 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2016-12-01 | 2017-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-01 | 2017-01-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-01 | 2017-01-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2016-12-01 | 2017-01-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-12-01 | 2017-01-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-01 | 2017-01-20 | N |
| Provide housekeeping and maintenance services. | Health | 2016-12-01 | 2017-01-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-01 | 2017-01-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-12-01 | 2017-01-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-01 | 2017-01-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-01 | 2017-01-20 | N |
