CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Embassy of Hearthside
View the most recent health deficiencies and inspection results for Embassy of Hearthside. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Embassy of Hearthside. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2026-02-20 | 2026-04-24 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2026-02-20 | 2026-04-21 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2026-02-20 | 2026-04-21 | 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 | 2026-02-20 | 2026-04-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-02-20 | 2026-04-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-20 | 2026-04-21 | 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 | 2026-02-20 | 2026-04-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-20 | 2026-04-21 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2026-02-20 | 2026-04-21 | 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 | 2026-02-20 | 2026-04-21 | N |
| Provide or obtain dental services for each resident. | Health | 2026-02-20 | 2026-04-21 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2026-02-20 | 2026-04-21 | 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 | 2026-02-20 | 2026-04-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-20 | 2026-04-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-02-20 | 2026-04-21 | Y |
| 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 | 2026-02-20 | 2026-04-21 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2026-02-20 | 2026-04-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-02-20 | 2026-04-21 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2026-02-20 | 2026-04-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-20 | 2026-04-21 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2026-02-20 | 2026-03-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-02-20 | 2026-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-02-20 | 2026-03-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-02-20 | 2026-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-20 | 2026-03-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-02-20 | 2026-03-30 | 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 | 2026-02-20 | 2026-03-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2026-02-20 | 2026-03-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-02-20 | 2026-03-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-02-20 | 2026-03-30 | N |
| Use approved construction type or materials. | Fire Safety | 2026-02-20 | 2026-03-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-02-20 | 2026-03-30 | N |
| Provide activities to meet all resident's needs. | Health | 2026-02-04 | 2026-03-09 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2026-02-04 | 2026-03-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-07 | 2025-10-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-25 | 2025-09-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-25 | 2025-09-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-06-11 | 2025-07-01 | 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 | 2025-03-14 | 2025-06-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-14 | 2025-06-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-14 | 2025-05-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-03-14 | 2025-05-15 | 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 | 2025-03-14 | 2025-05-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-03-14 | 2025-05-15 | 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 | 2025-03-14 | 2025-05-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-14 | 2025-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-14 | 2025-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-14 | 2025-05-15 | N |
| Provide appropriate foot care. | Health | 2025-03-14 | 2025-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-14 | 2025-04-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-03-14 | 2025-04-17 | 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 | 2025-03-14 | 2025-04-17 | 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 | 2025-03-14 | 2025-04-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-03-14 | 2025-04-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-14 | 2025-04-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-14 | 2025-04-17 | N |
| 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 | 2025-03-14 | 2025-04-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-03-14 | 2025-04-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-03-14 | 2025-04-17 | 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 | 2025-03-14 | 2025-04-17 | 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 | 2025-03-14 | 2025-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-14 | 2025-04-17 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-03-14 | 2025-04-17 | N |
| Meet other general requirements. | Fire Safety | 2025-02-05 | 2025-03-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-14 | 2025-01-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-22 | 2024-12-11 | Y |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2024-11-13 | 2024-11-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-18 | 2024-10-11 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-26 | 2024-06-25 | 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 | 2024-04-26 | 2024-06-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-04-26 | 2024-06-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-26 | 2024-06-18 | 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 | 2024-04-26 | 2024-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-26 | 2024-06-18 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-04-26 | 2024-06-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-04-26 | 2024-06-18 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-26 | 2024-06-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-04-26 | 2024-06-18 | 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 necessary and PRN use is limited. | Health | 2024-04-26 | 2024-06-18 | 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 | 2024-04-26 | 2024-06-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-26 | 2024-06-18 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-04-26 | 2024-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-26 | 2024-06-18 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-04-26 | 2024-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-26 | 2024-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-26 | 2024-06-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-26 | 2024-06-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-26 | 2024-06-18 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-04-26 | 2024-05-14 | N |
| Use approved construction type or materials. | Fire Safety | 2024-04-26 | 2024-05-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-26 | 2024-05-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-26 | 2024-05-14 | 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 | 2024-04-26 | 2024-05-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-26 | 2024-05-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-26 | 2024-05-14 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-02-15 | 2024-03-11 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-02-15 | 2024-03-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-22 | 2023-12-14 | 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 | 2023-09-19 | 2023-10-20 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-08-15 | 2023-10-03 | Y |
| Meet other general requirements. | Fire Safety | 2023-09-14 | 2023-09-22 | 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 | 2023-05-05 | 2023-06-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-05 | 2023-06-14 | Y |
| 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 | 2023-05-05 | 2023-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-06-14 | Y |
| 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 | 2023-05-05 | 2023-06-14 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-05-05 | 2023-06-14 | Y |