A list of the most recent deficiencies for Solon Pointe at Emerald Ridge. 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-24 | 2023-05-31 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-09 | 2023-05-31 | Y |
| 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 | 2023-05-09 | 2023-05-31 | Y |
| 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 | 2023-01-12 | 2023-02-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-12 | 2023-02-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-01-12 | 2023-02-13 | N |
| Dispose of garbage and refuse properly. | Health | 2023-01-12 | 2023-02-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-12 | 2023-02-13 | 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 | 2023-01-09 | 2023-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-09 | 2023-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-09 | 2023-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-09 | 2023-02-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-09 | 2023-02-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-09 | 2023-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-09 | 2023-02-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-09 | 2023-02-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-09 | 2023-02-13 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-01-04 | 2022-01-27 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-01-04 | 2022-01-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-04 | 2022-01-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-04 | 2022-01-27 | 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 | 2021-03-22 | 2021-04-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-03-22 | 2021-04-14 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-18 | 2019-12-18 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-09-19 | 2019-11-01 | 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 | 2019-09-19 | 2019-11-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-19 | 2019-11-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-09-19 | 2019-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-19 | 2019-11-01 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-09-19 | 2019-11-01 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-09-19 | 2019-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-19 | 2019-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-19 | 2019-11-01 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Establish methods for sharing information. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-09-18 | 2019-11-01 | 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 | 2019-09-18 | 2019-11-01 | 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 | 2019-09-18 | 2019-11-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-18 | 2019-11-01 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-08-16 | 2018-09-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-16 | 2018-09-21 | N |
| Post nurse staffing information every day. | Health | 2018-08-16 | 2018-09-21 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-08-16 | 2018-09-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-08-14 | 2018-09-21 | 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 | 2018-08-14 | 2018-09-21 | N |
| Provide large enough exits. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-14 | 2018-09-21 | N |
