Deficiency Records for Emerald Care Center Southwest LLC

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Updated as of March 01, 2024

A list of the most recent deficiencies for Emerald Care Center Southwest LLC. 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?
Reasonably accommodate the needs and preferences of each resident. Health 2023-08-18 2023-09-27 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-08-18 2023-09-27 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 2023-08-18 2023-09-27 N
Ensure each resident receives an accurate assessment. Health 2023-08-18 2023-09-27 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-18 2023-09-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-08-18 2023-09-27 N
Provide enough food/fluids to maintain a resident's health. Health 2023-08-18 2023-09-27 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-08-18 2023-09-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-18 2023-09-27 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-08-18 2023-09-27 N
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 2023-08-18 2023-09-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-18 2023-09-27 N
Provide and implement an infection prevention and control program. Health 2023-08-18 2023-09-27 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-16 2023-04-25 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-03-16 2023-04-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-20 2022-11-21 Y
Have an externally vented heating system. Fire Safety 2021-12-17 2022-02-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-21 2022-02-01 N
Provide enough food/fluids to maintain a resident's health. Health 2021-12-21 2022-02-01 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 2021-12-21 2022-02-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-21 2022-02-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-12-17 2022-02-01 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-04-16 2021-05-14 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-16 2021-05-14 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2020-02-27 2020-04-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-02-27 2020-04-09 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2020-02-27 2020-04-09 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-02-27 2020-04-09 N
Address subsistence needs for staff and patients. Fire Safety 2020-02-26 2020-03-09 N
Establish emergency prep training and testing. Fire Safety 2020-02-26 2020-03-09 N
Have exits that are accessible at all times. Fire Safety 2020-02-26 2020-03-09 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2020-02-26 2020-03-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-02-26 2020-03-09 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2020-02-26 2020-03-09 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-02-26 2020-03-09 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2020-02-26 2020-03-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-02-26 2020-03-09 N
Have proper medical gas storage and administration areas. Fire Safety 2020-02-26 2020-03-09 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2018-12-13 2019-01-28 N
Address subsistence needs for staff and patients. Fire Safety 2018-12-13 2019-01-28 N
Establish emergency prep training and testing. Fire Safety 2018-12-13 2019-01-28 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 2018-12-13 2019-01-28 N
Provide properly protected cooking facilities. Fire Safety 2018-12-13 2019-01-28 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2018-12-13 2019-01-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-12-13 2019-01-28 N
Have proper medical gas storage and administration areas. Fire Safety 2018-12-13 2019-01-28 N