A list of the most recent deficiencies for Eddy Memorial Geriatric Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-28 | 2022-12-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-28 | 2022-12-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-17 | 2022-07-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-17 | 2022-07-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-17 | 2022-07-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-17 | 2022-07-15 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-05-17 | 2022-07-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-17 | 2022-07-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-05-17 | 2022-07-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-10 | 2020-02-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-10 | 2020-02-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-10 | 2020-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-10 | 2020-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-10 | 2020-02-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-10 | 2020-02-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2020-02-07 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-11-20 | 2019-01-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-20 | 2019-01-15 | 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 | 2018-11-20 | 2019-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-20 | 2019-01-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-11-20 | 2019-01-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-20 | 2019-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-20 | 2019-01-15 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
