A list of the most recent deficiencies for Memory Care Center at Emerald. 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? |
|---|---|---|---|---|
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-10-17 | 2023-11-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-17 | 2023-11-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-13 | 2023-08-18 | 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 | 2023-07-13 | 2023-08-18 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-13 | 2023-08-18 | 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 | 2023-04-03 | 2023-05-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-03 | 2023-05-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-04-03 | 2023-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-03 | 2023-05-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-03 | 2023-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-03 | 2023-05-23 | 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 | 2023-04-03 | 2023-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-03 | 2023-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-03 | 2023-05-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-03 | 2023-05-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-03 | 2023-05-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-03 | 2023-05-23 | 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 | 2023-04-03 | 2023-05-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-03 | 2023-05-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-03 | 2023-05-23 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-04-03 | 2023-05-23 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-04-03 | 2023-05-23 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-04-03 | 2023-05-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-04-03 | 2023-05-23 | 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 | 2023-04-03 | 2023-05-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-03 | 2023-05-23 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-04-03 | 2023-05-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-01 | 2023-05-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-01 | 2023-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-01 | 2023-05-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-01 | 2023-05-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-01 | 2023-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-29 | 2021-08-29 | Y |
| Report COVID19 data to residents and families. | Health | 2021-05-25 | 2021-07-07 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-05-25 | 2021-07-02 | 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 | 2021-05-25 | 2021-07-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-25 | 2021-07-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-30 | 2019-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-30 | 2019-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-23 | 2019-06-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-23 | 2019-06-29 | 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 | 2018-07-16 | 2018-08-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-16 | 2018-08-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-16 | 2018-08-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-16 | 2018-08-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-11 | 2018-08-17 | N |
