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Deficiency Records for Evan Terrace Post Acute

View the most recent health deficiencies and inspection results for Evan Terrace Post Acute. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Evan Terrace Post Acute. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
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 2026-03-16 2026-03-31 Y
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 2025-11-18 2025-11-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-06-16 2025-07-22 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-06-16 2025-07-22 Y
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2025-06-16 2025-07-22 Y
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2025-06-09 2025-07-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-06-09 2025-07-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-06-09 2025-07-15 Y
Respond appropriately to all alleged violations. Health 2025-06-09 2025-07-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-06-09 2025-07-15 Y
Provide and implement an infection prevention and control program. Health 2025-06-09 2025-07-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-06-09 2025-07-15 N
Provide or get specialized rehabilitative services as required for a resident. Health 2025-06-09 2025-07-15 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 2025-06-09 2025-07-15 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2025-06-09 2025-07-15 N
Post nurse staffing information every day. Health 2025-06-09 2025-07-15 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 2025-06-09 2025-07-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-06-09 2025-07-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-06-09 2025-07-15 N
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2025-06-09 2025-07-15 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2025-06-09 2025-07-15 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2025-06-09 2025-07-15 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2025-06-09 2025-07-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-03-04 2025-04-02 Y
Provide or get specialized rehabilitative services as required for a resident. Health 2025-03-04 2025-04-02 Y
Ensure that residents are free from significant medication errors. Health 2024-11-26 2025-01-07 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2024-11-26 2025-01-07 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-11-26 2025-01-07 Y
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 2024-11-26 2025-01-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-11-26 2025-01-07 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-11-26 2025-01-07 Y
Respond appropriately to all alleged violations. Health 2024-11-26 2025-01-07 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2024-11-26 2025-01-07 Y
Have simulated fire drills held at unexpected times. Fire Safety 2024-04-19 2024-05-17 N
Ensure each resident receives an accurate assessment. Health 2024-04-19 2024-05-17 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-04-19 2024-05-17 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 2024-04-19 2024-05-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-19 2024-05-17 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-04-19 2024-05-17 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 2024-04-19 2024-05-17 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-04-19 2024-05-17 Y
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 2024-04-19 2024-05-17 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-19 2024-05-17 Y
Respond appropriately to all alleged violations. Health 2023-12-20 2024-01-24 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-12-20 2024-01-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-20 2024-01-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-20 2024-01-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-12-20 2024-01-24 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-02 2023-10-26 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-10-02 2023-10-26 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-10-02 2023-10-26 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-02 2023-10-26 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-10-02 2023-10-26 Y
Install noncombustible or limited-combustible interior walls. Fire Safety 2023-02-16 2023-03-13 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-02-16 2023-03-13 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-02-16 2023-03-13 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-02-16 2023-03-13 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-02-16 2023-03-13 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-16 2023-03-13 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-16 2023-03-13 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-02-16 2023-03-13 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 2023-02-16 2023-03-13 N

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