Deficiency Records for Elderberry Health Care
Updated as of January 01, 2021
This is not the most recent data for Elderberry Health Care. For the most recent information, click here.
A list of the most recent deficiencies for Elderberry Health Care. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-27 | 2019-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-27 | 2019-07-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-14 | 2018-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-14 | 2018-08-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-21 | 2018-07-13 | 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 | 2018-06-21 | 2018-07-13 | 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 | 2018-06-21 | 2018-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-21 | 2018-07-13 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-06-21 | 2018-07-13 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-08-31 | 2017-09-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-08-31 | 2017-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-31 | 2017-09-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-04 | 2017-08-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-04 | 2017-08-31 | N |
