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Deficiency Records for Eagle Pointe Healthcare Center
View the most recent health deficiencies and inspection results for Eagle Pointe Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Eagle Pointe Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-23 | 2025-11-03 | Y |
| 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 | 2025-09-23 | 2025-11-03 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-07-08 | 2025-08-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-07-08 | 2025-08-01 | 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 | 2025-07-08 | 2025-08-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-07-08 | 2025-08-01 | 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 | 2025-07-08 | 2025-08-01 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-07-08 | 2025-08-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-07-08 | 2025-08-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-07-08 | 2025-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-08 | 2025-08-01 | N |
| Keep all essential equipment working safely. | Health | 2025-07-08 | 2025-08-01 | N |
| 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 | 2025-07-08 | 2025-08-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-07-08 | 2025-08-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-08 | 2025-08-01 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-08 | 2025-07-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-08 | 2025-07-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-07-08 | 2025-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-08 | 2025-07-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-07-08 | 2025-07-28 | N |
| 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 | 2024-11-22 | 2025-01-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-22 | 2025-01-01 | Y |
| 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 | 2024-11-22 | 2025-01-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-22 | 2025-01-01 | 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 | 2024-11-22 | 2025-01-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-11-22 | 2025-01-01 | 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 | 2024-02-06 | 2024-03-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-06 | 2024-03-01 | Y |
| 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 | 2024-02-06 | 2024-03-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-06 | 2024-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-06 | 2024-03-01 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-09-26 | 2023-10-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-26 | 2023-08-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-26 | 2023-08-07 | 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 | 2023-05-26 | 2023-08-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-26 | 2023-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-26 | 2023-07-26 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-26 | 2023-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-26 | 2023-07-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-05-26 | 2023-07-26 | 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 | 2023-05-26 | 2023-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-26 | 2023-07-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-26 | 2023-07-26 | 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 | 2023-05-26 | 2023-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-26 | 2023-07-26 | N |
| Keep all essential equipment working safely. | Health | 2023-05-26 | 2023-07-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-26 | 2023-07-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-26 | 2023-07-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-26 | 2023-07-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-26 | 2023-07-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-26 | 2023-07-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-26 | 2023-07-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-26 | 2023-07-26 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-26 | 2023-07-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-26 | 2023-07-26 | 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 | 2023-05-26 | 2023-07-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-26 | 2023-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-26 | 2023-06-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-26 | 2023-06-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-23 | 2022-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-23 | 2022-03-23 | 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 | 2022-02-23 | 2022-03-23 | 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 | 2022-02-23 | 2022-03-23 | 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 | 2022-02-23 | 2022-03-23 | 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 | 2022-02-23 | 2022-03-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-23 | 2022-03-23 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-02-23 | 2022-03-23 | 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 | 2022-02-23 | 2022-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-23 | 2022-03-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-23 | 2022-03-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-23 | 2022-03-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-23 | 2022-03-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-02-23 | 2022-03-14 | N |