Deficiency Records for The Ellison John Transitional Care Center
Updated as of May 01, 2019
This is not the most recent data for The Ellison John Transitional Care Center. For the most recent information, click here.
A list of the most recent deficiencies for The Ellison John Transitional Care 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-29 | 2019-02-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-07 | 2018-11-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-07 | 2018-11-02 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2018-09-07 | 2018-11-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-07 | 2018-11-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-09-07 | 2018-10-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-07 | 2018-10-11 | 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 | 2018-09-07 | 2018-10-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-09-07 | 2018-10-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-09-07 | 2018-10-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-07 | 2018-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-07 | 2018-10-11 | 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 | 2018-09-07 | 2018-10-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-07 | 2018-10-11 | 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 | 2018-09-07 | 2018-10-11 | 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 ne | Health | 2018-09-07 | 2018-10-11 | 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 | 2018-09-07 | 2018-10-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-07 | 2018-10-11 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-09-07 | 2018-10-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-07 | 2018-10-11 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-09-05 | 2018-10-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-05 | 2018-10-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-09-05 | 2018-10-01 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-09-05 | 2018-10-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-05 | 2018-10-01 | 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 | 2017-08-29 | 2017-09-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-29 | 2017-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-29 | 2017-09-01 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-29 | 2017-09-01 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-08-29 | 2017-09-01 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-08-29 | 2017-09-01 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-08-29 | 2017-09-01 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-08-29 | 2017-09-01 | N |
