Deficiency Records for Emmanuel Center For Nursing
Updated as of August 01, 2019
This is not the most recent data for Emmanuel Center For Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Emmanuel Center For Nursing. 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? |
|---|---|---|---|---|
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-02-19 | 2019-04-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-02-19 | 2019-04-15 | 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 | 2019-02-19 | 2019-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-19 | 2019-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-19 | 2019-04-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-02-19 | 2019-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-19 | 2019-04-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-02-15 | 2019-03-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-15 | 2019-03-22 | 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 | 2019-02-15 | 2019-03-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-15 | 2019-03-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-15 | 2019-03-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-15 | 2019-03-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-15 | 2019-03-22 | 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 | 2019-02-15 | 2019-03-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-31 | 2018-11-12 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-31 | 2018-11-12 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-09-09 | 2018-11-12 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-09-09 | 2018-11-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-09 | 2018-11-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-09 | 2018-11-12 | Y |
| Post nurse staffing information every day. | Health | 2018-09-09 | 2018-11-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-09 | 2018-11-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-09-09 | 2018-11-12 | 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 | 2018-01-19 | 2018-04-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-01-19 | 2018-04-03 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-01-19 | 2018-03-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-19 | 2018-03-12 | N |
| 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 | 2018-01-19 | 2018-03-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2018-01-19 | 2018-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-19 | 2018-03-12 | N |
| Dispose of garbage and refuse properly. | Health | 2018-01-19 | 2018-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-19 | 2018-03-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-01-29 | 2018-01-30 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-01-29 | 2018-01-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-01-29 | 2018-01-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-12-07 | 2017-01-18 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-12-01 | 2017-01-18 | N |
| Maintain comfortable and safe temperature levels. | Health | 2016-12-01 | 2017-01-18 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-12-01 | 2017-01-18 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-01 | 2017-01-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-01 | 2017-01-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-01 | 2017-01-18 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-12-01 | 2017-01-18 | Y |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-12-01 | 2017-01-18 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-01 | 2017-01-18 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-12-01 | 2017-01-18 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-09-08 | 2016-10-21 | Y |
