Deficiency Records for Embassy of Cambridge
Updated as of October 01, 2018
This is not the most recent data for Embassy of Cambridge. For the most recent information, click here.
A list of the most recent deficiencies for Embassy of Cambridge. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-30 | 2018-05-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-30 | 2018-05-14 | 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 | 2018-04-30 | 2018-05-14 | 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 | 2018-04-09 | 2018-04-18 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-03-16 | 2018-04-18 | 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 | 2018-03-16 | 2018-04-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-22 | 2018-02-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-22 | 2018-02-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-01-22 | 2018-02-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-22 | 2018-02-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-01-22 | 2018-02-12 | Y |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-07-19 | 2017-08-09 | 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 | 2017-07-20 | 2017-08-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-20 | 2017-08-09 | 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 | 2017-07-20 | 2017-08-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-07-28 | 2017-08-09 | 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 | 2016-11-23 | 2016-12-01 | 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 | 2016-11-23 | 2016-12-01 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-04-28 | 2016-05-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-04-28 | 2016-05-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-28 | 2016-05-20 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-04-28 | 2016-05-20 | 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 | 2016-04-28 | 2016-05-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-28 | 2016-05-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-28 | 2016-05-20 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-04-28 | 2016-05-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-04-28 | 2016-05-20 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-04-08 | 2016-04-28 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-07-23 | 2015-10-09 | N |
| 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 | 2015-07-23 | 2015-10-09 | N |
| 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 | 2015-07-23 | 2015-10-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-23 | 2015-10-09 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-07-28 | 2015-09-28 | N |
| A properly installed medical gas master alarm panel. | Fire Safety | 2015-07-28 | 2015-09-28 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-07-23 | 2015-09-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-07-23 | 2015-09-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-07-23 | 2015-09-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-23 | 2015-09-28 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-07-23 | 2015-09-28 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-07-23 | 2015-09-28 | 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 | 2015-07-23 | 2015-09-28 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-07-23 | 2015-09-28 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-07-23 | 2015-09-28 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-07-23 | 2015-09-28 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2015-07-23 | 2015-09-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-23 | 2015-09-28 | N |
| Keep all essential equipment working safely. | Health | 2015-07-23 | 2015-09-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-23 | 2015-09-28 | N |
