A list of the most recent deficiencies for Emerald Care. 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-13 | 2023-04-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-13 | 2023-04-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-15 | 2023-04-08 | 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 | 2023-03-15 | 2023-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2023-04-08 | 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 | 2023-03-15 | 2023-04-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-15 | 2023-04-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-15 | 2023-04-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-15 | 2023-04-08 | 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 | 2023-03-15 | 2023-04-08 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-15 | 2023-04-08 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-03-15 | 2023-03-31 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-03-13 | 2023-03-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-13 | 2023-03-31 | N |
| 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 | 2023-03-13 | 2023-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-13 | 2023-03-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-13 | 2023-03-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-01 | 2021-07-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-06-01 | 2021-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-01 | 2021-07-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-14 | 2021-07-07 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-06-14 | 2021-07-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-14 | 2021-07-07 | 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 | 2021-06-14 | 2021-07-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-14 | 2021-07-07 | 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 | 2021-06-14 | 2021-07-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-14 | 2021-07-07 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-06-14 | 2021-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-14 | 2021-07-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-14 | 2021-07-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-14 | 2021-07-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-14 | 2021-07-07 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-14 | 2021-07-07 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-01 | 2021-06-17 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-06-01 | 2021-06-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Develop a communication plan. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-01 | 2021-06-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-02-01 | 2019-05-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-07 | 2019-04-29 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-02-07 | 2019-04-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-07 | 2019-04-29 | N |
| 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 | 2019-02-07 | 2019-04-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-07 | 2019-04-29 | N |
| Respond appropriately to all alleged violations. | Health | 2019-02-07 | 2019-04-29 | N |
| 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 | 2019-02-07 | 2019-04-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-04-29 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-07 | 2019-04-29 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2019-02-07 | 2019-04-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-04-29 | 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 | 2019-02-07 | 2019-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-04-29 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-02-01 | 2019-04-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-02-01 | 2019-04-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-01 | 2019-04-19 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-02-01 | 2019-04-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-02-01 | 2019-04-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-02-01 | 2019-04-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-01 | 2019-04-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-01 | 2019-04-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-01 | 2019-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-01 | 2019-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-01 | 2019-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-01 | 2019-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-01 | 2019-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-01 | 2019-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-01 | 2019-03-07 | N |
