A list of the most recent deficiencies for Eastbrook Healthcare 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? |
---|---|---|---|---|
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-23 | 2023-11-03 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-23 | 2023-11-03 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-23 | 2023-11-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-23 | 2023-10-23 | Y |
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 | 2023-08-18 | 2023-08-19 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2023-03-23 | 2023-03-30 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-19 | 2022-10-20 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-10-19 | 2022-10-20 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-19 | 2022-10-20 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-09-15 | 2022-10-20 | Y |
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 | 2022-09-15 | 2022-10-20 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-15 | 2022-10-20 | Y |
Provide activities to meet all resident's needs. | Health | 2022-09-15 | 2022-10-20 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-15 | 2022-10-20 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-10-20 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-15 | 2022-10-20 | Y |
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 | 2022-09-15 | 2022-10-20 | Y |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-09-15 | 2022-10-20 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-15 | 2022-10-20 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-15 | 2022-10-20 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-15 | 2022-10-20 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-17 | 2022-10-20 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-17 | 2022-10-20 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-17 | 2022-10-20 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-08-17 | 2022-10-20 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-17 | 2022-10-20 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-17 | 2022-10-20 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-10-20 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-17 | 2022-10-20 | Y |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-03-17 | 2022-04-22 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-17 | 2022-04-22 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-03-17 | 2022-04-22 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-03-17 | 2022-04-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-17 | 2022-04-22 | 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 | 2022-03-17 | 2022-04-22 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-17 | 2022-04-22 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-17 | 2022-04-22 | N |
Provide appropriate foot care. | Health | 2022-03-17 | 2022-04-22 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-17 | 2022-04-22 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-17 | 2022-04-22 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-03-17 | 2022-04-22 | N |
Post nurse staffing information every day. | Health | 2022-03-17 | 2022-04-22 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-17 | 2022-04-22 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-03-17 | 2022-04-22 | 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 | 2022-03-17 | 2022-04-22 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-03-17 | 2022-04-22 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-17 | 2022-04-22 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-17 | 2022-04-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-17 | 2022-04-22 | N |
Dispose of garbage and refuse properly. | Health | 2022-03-17 | 2022-04-22 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-17 | 2022-04-22 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-22 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-17 | 2022-04-22 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-17 | 2022-04-22 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-17 | 2022-04-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2021-12-13 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-19 | 2021-12-13 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-10-29 | 2021-12-13 | Y |
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 | 2021-09-22 | 2021-12-13 | Y |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-09-22 | 2021-12-13 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-22 | 2021-12-13 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-22 | 2021-12-13 | Y |
Ensure that residents are free from significant medication errors. | Health | 2021-09-22 | 2021-12-13 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-23 | 2021-07-09 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-05-02 | 2021-05-20 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-05-02 | 2021-05-20 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-03-28 | 2019-05-15 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-03-28 | 2019-05-15 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-03-28 | 2019-05-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-28 | 2019-05-15 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-28 | 2019-05-15 | 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 | 2019-03-28 | 2019-05-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-28 | 2019-05-15 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-14 | 2018-04-15 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2018-02-14 | 2018-04-15 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-02-14 | 2018-04-15 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-14 | 2018-04-15 | N |
Keep residents' personal and medical records private and confidential. | Health | 2018-02-14 | 2018-04-15 | 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 | 2018-02-14 | 2018-04-15 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-14 | 2018-04-15 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-02-14 | 2018-04-15 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-14 | 2018-04-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-14 | 2018-04-15 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-02-14 | 2018-04-15 | 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 | 2018-02-14 | 2018-04-15 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-02-14 | 2018-04-15 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-14 | 2018-04-15 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-02-14 | 2018-04-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-14 | 2018-04-15 | N |
Dispose of garbage and refuse properly. | Health | 2018-02-14 | 2018-04-15 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-14 | 2018-04-15 | N |
Keep all essential equipment working safely. | Health | 2018-02-14 | 2018-04-15 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-02-14 | 2018-04-15 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-14 | 2018-04-15 | N |
Use approved construction type or materials. | Fire Safety | 2018-02-14 | 2018-04-15 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-14 | 2018-04-15 | 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 | 2018-02-14 | 2018-04-15 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-14 | 2018-04-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-14 | 2018-04-15 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-02-14 | 2018-04-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-14 | 2018-04-15 | N |