A list of the most recent deficiencies for Elderwood at Hamburg. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-03 | 2023-11-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-03 | 2023-11-22 | N |
| Post nurse staffing information every day. | Health | 2023-10-03 | 2023-11-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-03 | 2023-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-03 | 2023-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-03 | 2023-11-22 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-03 | 2023-11-22 | 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 | 2023-10-03 | 2023-11-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-03 | 2023-11-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-03 | 2023-11-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-03 | 2023-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-03 | 2023-11-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-03 | 2023-11-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-03 | 2023-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-03 | 2023-11-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-03 | 2023-11-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-01 | 2022-10-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-13 | 2021-11-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-13 | 2021-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-05-31 | 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 | 2019-04-05 | 2019-05-31 | 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 | 2019-04-05 | 2019-05-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-05 | 2019-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-05 | 2019-05-07 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-03 | Not Fixed | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-10-03 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2019-04-05 | Not Fixed | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-04-05 | Not Fixed | N |
