A list of the most recent deficiencies for Eddy Village Green. 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 | 2023-06-22 | 2023-07-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-22 | 2023-07-21 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-28 | 2022-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-28 | 2022-06-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-28 | 2022-06-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-28 | 2022-06-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-28 | 2022-06-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-02 | 2022-03-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-09 | 2019-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-09 | 2019-12-06 | 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 | 2019-10-09 | 2019-12-06 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-10-09 | 2019-12-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-09 | 2019-12-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-09 | 2019-12-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-02-08 | 2018-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-08 | 2018-04-06 | 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 | 2018-02-08 | 2018-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-08 | 2018-04-06 | 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 | 2018-02-08 | 2018-04-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-08 | 2018-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-08 | 2018-04-06 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-02-08 | 2018-04-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-02-08 | 2018-04-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-02-08 | 2018-04-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-08 | 2018-04-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-02-08 | 2018-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-08 | 2018-04-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-08 | 2018-04-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-02-08 | 2018-04-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-09 | Not Fixed | N |
