Deficiency Records for Embassy of Cambridge
Updated as of January 01, 2020
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? |
---|---|---|---|---|
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 | 2019-10-24 | 2019-11-15 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-24 | 2019-11-15 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-24 | 2019-11-15 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-24 | 2019-11-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-24 | 2019-11-15 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-24 | 2019-11-15 | N |
Provide or obtain dental services for each resident. | Health | 2019-10-24 | 2019-11-15 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-15 | N |
Implement a program that monitors antibiotic use. | Health | 2019-10-24 | 2019-11-15 | N |
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 | 2019-10-21 | 2019-10-31 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-10-21 | 2019-10-31 | 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 | 2019-10-21 | 2019-10-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-21 | 2019-10-31 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-21 | 2019-10-31 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-21 | 2019-10-31 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-09-05 | Y |
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 |