Deficiency Records for Eastland Rehabilitation and Nursing Center
Updated as of January 01, 2019
This is not the most recent data for Eastland Rehabilitation and Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Eastland Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-13 | 2018-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-13 | 2018-09-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-13 | 2018-09-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-10 | 2018-09-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-16 | 2018-09-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-16 | 2018-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-10 | 2018-08-16 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-07-10 | 2018-08-16 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2018-06-19 | 2018-08-16 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-06-19 | 2018-08-16 | Y |
| 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 | 2018-03-01 | 2018-04-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-03-01 | 2018-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-01 | 2018-04-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-01 | 2018-04-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-03-01 | 2018-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-01 | 2018-04-05 | N |
| Be properly staffed | Fire Safety | 2018-03-01 | 2018-04-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-03-01 | 2018-04-05 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-03-01 | 2018-04-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-01 | 2018-04-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-03-05 | 2018-04-05 | 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 | 2018-03-05 | 2018-04-05 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-05 | 2018-04-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-05 | 2018-04-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-05 | 2018-04-05 | 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 | 2018-03-05 | 2018-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-05 | 2018-04-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-05 | 2018-04-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-03-05 | 2018-04-05 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-03-05 | 2018-04-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-03-05 | 2018-04-05 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-03-05 | 2018-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-05 | 2018-04-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-05 | 2018-04-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-05 | 2018-04-05 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-08-07 | 2017-08-23 | Y |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-08-07 | 2017-08-23 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-07 | 2017-08-23 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-07 | 2017-08-23 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-07 | 2017-08-23 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-08-07 | 2017-08-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-02-15 | 2017-03-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-15 | 2017-03-24 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-02-15 | 2017-03-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-02-16 | 2017-03-24 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-16 | 2017-03-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-02-16 | 2017-03-24 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-02-16 | 2017-03-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-16 | 2017-03-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-16 | 2017-03-24 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-16 | 2017-03-24 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-16 | 2017-03-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-16 | 2017-03-24 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-02-16 | 2017-03-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-16 | 2017-03-24 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-16 | 2017-03-24 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-02-16 | 2017-03-24 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-02-16 | 2017-03-24 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-02-16 | 2017-03-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-16 | 2017-03-24 | N |
| Provide or obtain dental services for each resident. | Health | 2017-02-16 | 2017-03-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-16 | 2017-03-24 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-02-16 | 2017-03-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-16 | 2017-03-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-16 | 2017-03-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-16 | 2017-03-24 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-02-16 | 2017-03-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-16 | 2017-03-24 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-16 | 2017-03-24 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-16 | 2017-01-04 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-12-16 | 2017-01-04 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-12-16 | 2017-01-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-07 | 2017-01-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-12-07 | 2017-01-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-07 | 2017-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-07 | 2017-01-04 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-12-07 | 2017-01-04 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-07 | 2017-01-04 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-11-16 | 2017-01-04 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-11-16 | 2017-01-04 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-16 | 2017-01-04 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2016-11-03 | 2017-01-04 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-10-13 | 2017-01-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-13 | 2017-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-13 | 2017-01-04 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2016-10-13 | 2017-01-04 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-13 | 2017-01-04 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-13 | 2017-01-04 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-09-13 | 2017-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-13 | 2017-01-04 | Y |
