A list of the most recent deficiencies for El Encanto Healthcare 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-12 | 2024-02-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-14 | 2023-08-23 | 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 | 2023-07-14 | 2023-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-14 | 2023-08-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-14 | 2023-08-23 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-07-14 | 2023-08-23 | 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 | 2023-07-14 | 2023-08-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-14 | 2023-08-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-07-14 | 2023-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-14 | 2023-08-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-14 | 2023-08-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-14 | 2023-08-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-14 | 2023-08-23 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-07-14 | 2023-08-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-14 | 2023-08-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-14 | 2023-08-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-14 | 2023-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-27 | 2023-07-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-27 | 2023-07-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-25 | 2023-04-05 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-12-07 | 2022-12-22 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-11-12 | 2021-11-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-16 | 2021-08-13 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-16 | 2021-08-13 | Y |
| Report COVID19 data to residents and families. | Health | 2021-07-16 | 2021-08-13 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-02-21 | 2020-03-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-21 | 2020-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-21 | 2020-03-27 | 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 | 2020-02-21 | 2020-03-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-21 | 2020-03-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-21 | 2020-03-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-21 | 2020-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-21 | 2020-03-27 | 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 | 2020-02-21 | 2020-03-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-21 | 2020-03-27 | N |
| 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 | 2020-02-21 | 2020-03-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-21 | 2020-03-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-21 | 2020-03-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-21 | 2020-03-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-21 | 2020-03-27 | 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 | 2020-02-21 | 2020-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-21 | 2020-03-27 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-02-21 | 2020-03-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-21 | 2020-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-21 | 2020-03-27 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-02-20 | 2020-03-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-20 | 2020-03-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-20 | 2020-03-05 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2020-02-20 | 2020-03-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-21 | 2019-03-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-21 | 2019-03-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-21 | 2019-03-26 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-02-21 | 2019-03-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-21 | 2019-03-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-21 | 2019-03-26 | 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 | 2019-02-22 | 2019-03-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-22 | 2019-03-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-02-22 | 2019-03-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-22 | 2019-03-21 | 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 | 2019-02-22 | 2019-03-21 | 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 | 2019-02-22 | 2019-03-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-22 | 2019-03-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-22 | 2019-03-21 | 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 | 2019-02-22 | 2019-03-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-22 | 2019-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-22 | 2019-03-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-02-22 | 2019-03-21 | N |
