A list of the most recent deficiencies for Embassy of Saxonburg. 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? |
|---|---|---|---|---|
| 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 | 2023-07-07 | 2023-08-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-07 | 2023-08-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-07 | 2023-08-18 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-07-07 | 2023-08-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-07 | 2023-08-18 | 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 | 2023-01-19 | 2023-02-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-19 | 2023-02-18 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-09-15 | 2022-10-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-09-15 | 2022-10-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-15 | 2022-10-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-09-15 | 2022-10-19 | N |
| 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 | 2022-09-08 | 2022-10-13 | 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 | 2022-09-08 | 2022-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-08 | 2022-10-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-16 | 2022-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-24 | 2021-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-24 | 2021-11-01 | N |
| Meet other general requirements. | Fire Safety | 2021-08-25 | 2021-10-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-25 | 2021-10-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-25 | 2021-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-25 | 2021-10-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-08-25 | 2021-10-22 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-08-25 | 2021-10-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-25 | 2021-10-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-08-24 | 2021-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-24 | 2021-09-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-24 | 2021-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-24 | 2021-09-20 | N |
