A list of the most recent deficiencies for Emerald Nursing and Rehabilitation. 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 hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-05-25 | 2023-06-26 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-25 | 2023-06-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-05-25 | 2023-06-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-25 | 2023-06-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-05-25 | 2023-06-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-05-25 | 2023-06-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-25 | 2023-06-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-06-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-25 | 2023-06-26 | 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 | 2023-05-25 | 2023-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-06-26 | Y |
| Meet other general requirements. | Fire Safety | 2023-05-09 | 2023-06-07 | 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 | 2023-05-09 | 2023-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-09 | 2023-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-09 | 2023-06-07 | N |
| Meet other general requirements. | Fire Safety | 2023-05-09 | 2023-06-07 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-01-23 | 2023-02-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-01 | 2022-12-07 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-06-22 | 2022-08-21 | 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 | 2022-06-10 | 2022-07-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-10 | 2022-07-16 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-06-10 | 2022-07-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-10 | 2022-07-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-10 | 2022-07-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-10 | 2022-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-10 | 2022-07-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-10 | 2022-07-16 | 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 | 2022-06-10 | 2022-07-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-06-10 | 2022-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-23 | 2022-05-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-15 | 2022-05-02 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-02-11 | 2022-03-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-11 | 2022-03-11 | Y |
| 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 | 2022-02-11 | 2022-03-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-11 | 2022-03-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-11 | 2022-03-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-13 | 2021-06-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-13 | 2021-06-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-13 | 2021-06-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-26 | 2021-06-15 | 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 | 2021-05-26 | 2021-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-26 | 2021-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-26 | 2021-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-26 | 2021-06-15 | N |