Deficiency Records for Solivita of Echo Manor
Updated as of January 01, 2023
This is not the most recent data for Solivita of Echo Manor. For the most recent information, click here.
A list of the most recent deficiencies for Solivita of Echo Manor. 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-11-08 | 2022-11-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-12 | 2022-10-05 | Y |
| Keep all essential equipment working safely. | Health | 2022-09-12 | 2022-10-05 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-08-19 | 2022-10-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-19 | 2022-10-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-19 | 2022-10-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-01 | 2022-10-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-01 | 2022-10-05 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-08-01 | 2022-10-05 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-06-30 | 2022-07-13 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-30 | 2022-07-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-07-13 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-05-17 | 2022-07-13 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-05-17 | 2022-07-13 | 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 | 2022-05-17 | 2022-07-13 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-17 | 2022-07-13 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-17 | 2022-07-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-05-17 | 2022-07-13 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-05-17 | 2022-07-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-17 | 2022-07-13 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-05-17 | 2022-07-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-17 | 2022-07-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-17 | 2022-07-13 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-05-17 | 2022-07-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-17 | 2022-07-13 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-05-17 | 2022-07-13 | Y |
| 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 necessary and PRN use is limited. | Health | 2022-05-17 | 2022-07-13 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-05-17 | 2022-07-13 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-05-17 | 2022-07-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-17 | 2022-07-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-17 | 2022-07-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-17 | 2022-07-13 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-05-17 | 2022-07-13 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-17 | 2022-07-13 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-17 | 2022-07-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-17 | 2022-07-13 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-04 | 2022-07-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-04 | 2022-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-04 | 2022-07-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-04 | 2022-07-13 | N |
| Have an externally vented heating system. | Fire Safety | 2022-05-04 | 2022-07-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-15 | 2022-03-21 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-15 | 2022-03-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-12 | 2022-02-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-02-02 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-15 | 2022-02-02 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-13 | 2022-02-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-27 | 2022-02-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-27 | 2022-02-02 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-27 | 2022-02-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-10 | 2021-06-24 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-06-10 | 2021-06-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-06-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-11 | 2021-06-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-23 | 2021-06-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-23 | 2021-06-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-23 | 2021-06-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-23 | 2021-06-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-23 | 2021-06-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-11 | 2021-06-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-11 | 2021-06-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-11 | 2021-06-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-11 | 2021-06-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-11 | 2021-06-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-11 | 2021-06-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-11 | 2021-06-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-11 | 2021-01-27 | 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 | 2021-01-11 | 2021-01-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-21 | 2021-01-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-25 | 2020-09-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-12 | 2019-10-11 | 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 | 2019-09-12 | 2019-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-12 | 2019-10-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-12 | 2019-10-11 | 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 | 2019-09-12 | 2019-10-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-12 | 2019-10-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-12 | 2019-10-11 | 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 | 2019-09-12 | 2019-10-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-12 | 2019-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-12 | 2019-10-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-12 | 2019-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-12 | 2019-10-11 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-09 | 2019-10-11 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-09-09 | 2019-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-09 | 2019-10-11 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-08-23 | 2018-09-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-23 | 2018-09-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-23 | 2018-09-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-08-23 | 2018-09-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-23 | 2018-09-18 | 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 | 2018-08-23 | 2018-09-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-23 | 2018-09-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-23 | 2018-09-18 | 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 necessary and PRN use is limited. | Health | 2018-08-23 | 2018-09-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-08-23 | 2018-09-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-23 | 2018-09-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-23 | 2018-09-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-20 | 2018-09-18 | N |
| Use approved construction type or materials. | Fire Safety | 2018-08-20 | 2018-09-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-20 | 2018-09-18 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-08-20 | 2018-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-20 | 2018-09-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-20 | 2018-09-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-20 | 2018-09-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-20 | 2018-09-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-08-20 | 2018-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-20 | 2018-09-18 | N |
