A list of the most recent deficiencies for Ennis Care Center. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-01 | 2024-03-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-01 | 2024-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-01 | 2024-02-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-02-01 | 2024-02-05 | 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 | 2024-02-01 | 2024-02-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-01 | 2024-02-03 | 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 | 2024-02-01 | 2024-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-02-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-01 | 2024-02-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-02-01 | 2024-02-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-01 | 2024-02-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-01 | 2024-02-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-11 | 2023-08-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-11 | 2023-07-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-28 | 2023-01-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-28 | 2023-01-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-28 | 2023-01-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-28 | 2023-01-03 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-12-28 | 2023-01-03 | 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 | 2022-11-22 | 2022-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-22 | 2022-11-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-08 | 2022-08-09 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-08 | 2022-08-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-08 | 2022-08-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-09 | 2022-03-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-25 | 2022-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-03 | 2021-12-09 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-16 | 2021-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-25 | 2021-09-23 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-25 | 2021-09-23 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-08-25 | 2021-09-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-25 | 2021-09-23 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-08 | 2021-07-24 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-06-08 | 2021-07-24 | Y |
