Deficiency Records for Embassy of Cambridge
Updated as of June 01, 2019
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? |
---|---|---|---|---|
Use approved construction type or materials. | Fire Safety | 2018-09-20 | 2018-10-12 | N |
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 | 2018-09-20 | 2018-10-12 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-20 | 2018-10-12 | 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 | 2018-09-20 | 2018-10-12 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-09-20 | 2018-10-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-20 | 2018-10-12 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-20 | 2018-10-12 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-20 | 2018-10-12 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-09-20 | 2018-10-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-20 | 2018-10-12 | 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 | 2018-09-20 | 2018-10-12 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-20 | 2018-10-12 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-20 | 2018-10-12 | 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 | 2018-09-20 | 2018-10-12 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-20 | 2018-10-12 | 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 ne | Health | 2018-09-20 | 2018-10-12 | N |
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-09-20 | 2018-10-12 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-09-20 | 2018-10-12 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-09-20 | 2018-10-12 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-09-20 | 2018-10-12 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-20 | 2018-10-12 | Y |
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 |
Reasonably accommodate the needs and preferences of each resident. | Health | 2017-07-28 | 2017-08-09 | Y |
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 |
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 |