Deficiency Records for Emanate Health Inter-Community Hospital- D/p Snf
Updated as of March 01, 2024
A list of the most recent deficiencies for Emanate Health Inter-Community Hospital- D/p Snf. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-18 | 2023-10-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-19 | 2023-06-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-05-19 | 2023-06-20 | 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 | 2023-05-19 | 2023-06-09 | 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 | 2023-05-19 | 2023-06-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-06-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-19 | 2023-06-02 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-14 | 2019-09-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-08-14 | 2019-09-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-14 | 2019-09-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-14 | 2019-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-14 | 2019-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-14 | 2019-09-23 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-08-13 | 2019-09-23 | 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 | 2019-08-13 | 2019-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-13 | 2019-09-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-28 | 2018-09-10 | 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 | 2018-07-28 | 2018-09-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-28 | 2018-09-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-28 | 2018-09-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-28 | 2018-09-10 | 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 | 2018-07-28 | 2018-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-28 | 2018-09-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-07-28 | 2018-09-10 | N |
| Keep all essential equipment working safely. | Health | 2018-07-28 | 2018-09-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-20 | 2018-08-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-20 | 2018-08-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-08-20 | 2018-08-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-08-20 | 2018-08-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-08-20 | 2018-08-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-03-17 | Not Fixed | N |
