Deficiency Records for Joyce Eisenberg Keefer Medical Center D/p Snf
Updated as of April 01, 2024
A list of the most recent deficiencies for Joyce Eisenberg Keefer Medical Center 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-25 | 2024-02-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-25 | 2024-02-16 | 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 | 2024-01-25 | 2024-02-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-25 | 2024-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-02-16 | 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 | 2024-01-25 | 2024-02-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-25 | 2024-02-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-25 | 2024-02-16 | 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 | 2024-01-25 | 2024-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-02-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-02-01 | 2024-02-16 | 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 | 2024-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-01 | 2024-02-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-02-01 | 2024-02-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-01 | 2024-02-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-01 | 2024-02-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-06 | 2023-02-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-06 | 2023-02-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-06 | 2023-02-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-06 | 2023-02-03 | 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 | 2023-01-06 | 2023-02-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-06 | 2023-02-03 | 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 | 2023-01-06 | 2023-02-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-06 | 2023-02-03 | 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 | 2023-01-06 | 2023-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-06 | 2023-02-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-06 | 2023-02-03 | 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 | 2023-01-06 | 2023-02-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-06 | 2023-02-03 | 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 | 2023-01-06 | 2023-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-06 | 2023-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-06 | 2023-02-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-01-05 | 2023-01-27 | 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 | 2023-01-05 | 2023-01-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-05 | 2023-01-27 | 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 | 2023-01-05 | 2023-01-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-05 | 2023-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-28 | 2022-10-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-02 | 2022-03-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-10 | 2020-03-11 | 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 | 2020-02-10 | 2020-03-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-10 | 2020-03-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-02-10 | 2020-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-10 | 2020-03-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-10 | 2020-03-11 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-10 | 2020-03-11 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-02-10 | 2020-03-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-10 | 2020-03-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-10 | 2020-03-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-10 | 2020-03-11 | 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 | 2020-02-10 | 2020-03-11 | 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 | 2020-02-10 | 2020-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-10 | 2020-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-10 | 2020-03-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-10 | 2020-03-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-02-13 | 2020-03-06 | 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 | 2020-02-13 | 2020-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-13 | 2020-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-13 | 2020-03-06 | N |
