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Deficiency Records for Embassy of East Mountain
View the most recent health deficiencies and inspection results for Embassy of East Mountain. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Embassy of East Mountain. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-01-09 | 2026-02-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-09 | 2026-02-20 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2026-01-09 | 2026-02-20 | Y |
| Provide activities to meet all resident's needs. | Health | 2026-01-09 | 2026-02-20 | 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 | 2026-01-09 | 2026-02-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2026-01-09 | 2026-02-20 | 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 | 2026-01-09 | 2026-02-20 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2026-01-09 | 2026-02-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-09 | 2026-02-20 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-09 | 2026-02-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2026-01-09 | 2026-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-09 | 2026-02-09 | N |
| Use approved construction type or materials. | Fire Safety | 2026-01-09 | 2026-02-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-01-09 | 2026-02-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-09 | 2026-02-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-01-09 | 2026-02-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-21 | 2025-09-18 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-05-29 | 2025-06-05 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-03-07 | 2025-05-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-03-07 | 2025-05-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-03-07 | 2025-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-07 | 2025-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-07 | 2025-05-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-07 | 2025-05-05 | 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 | 2025-03-07 | 2025-05-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-03-07 | 2025-04-11 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-03-07 | 2025-04-11 | 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 | 2025-03-07 | 2025-04-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-03-07 | 2025-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-07 | 2025-04-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-07 | 2025-04-11 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-03-07 | 2025-04-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-07 | 2025-04-11 | N |
| Provide or obtain dental services for each resident. | Health | 2025-03-07 | 2025-04-11 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-03-07 | 2025-04-11 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-03-07 | 2025-04-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-07 | 2025-04-11 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2025-03-07 | 2025-04-11 | 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 | 2024-04-12 | 2024-06-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-12 | 2024-06-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-12 | 2024-06-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-12 | 2024-06-01 | N |
| Use approved construction type or materials. | Fire Safety | 2024-04-12 | 2024-06-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-12 | 2024-06-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-04-12 | 2024-05-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-12 | 2024-05-21 | Y |
| Assess the resident when there is a significant change in condition | Health | 2024-04-12 | 2024-05-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-12 | 2024-05-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-12 | 2024-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-12 | 2024-05-21 | 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 | 2024-04-12 | 2024-05-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-12 | 2024-05-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-04-12 | 2024-05-21 | 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 | 2024-01-09 | 2024-02-20 | 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 | 2024-01-09 | 2024-02-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-09 | 2024-02-20 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-27 | 2023-10-30 | Y |