Deficiency Records for Estates Healthcare and Rehabilitation Center
Updated as of May 01, 2019
This is not the most recent data for Estates Healthcare and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Estates Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-13 | 2018-07-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-06-13 | 2018-07-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-06-13 | 2018-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-13 | 2018-07-20 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-06-13 | 2018-07-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-06-13 | 2018-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-13 | 2018-07-20 | 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 | 2018-06-15 | 2018-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-15 | 2018-07-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-15 | 2018-07-20 | Y |
| 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 | 2018-06-15 | 2018-07-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-06-15 | 2018-07-20 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-06-15 | 2018-07-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-15 | 2018-07-20 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-06-15 | 2018-07-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-03 | 2018-02-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-03 | 2018-02-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-03 | 2018-02-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-03 | 2018-02-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-03 | 2018-02-22 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-04 | 2017-08-03 | Y |
| 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 | 2017-08-04 | 2017-08-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-04 | 2017-08-03 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-28 | 2017-06-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-04-28 | 2017-06-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-04-28 | 2017-06-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-27 | 2017-06-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-04-27 | 2017-06-11 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-04-27 | 2017-06-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-04-27 | 2017-06-11 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-06-02 | 2016-07-17 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-06-02 | 2016-07-17 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-02 | 2016-07-17 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-06-02 | 2016-07-17 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-06-02 | 2016-07-17 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-02 | 2016-07-17 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-06-02 | 2016-07-17 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-06-02 | 2016-07-17 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-06-02 | 2016-07-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-02 | 2016-07-17 | N |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2016-06-03 | 2016-07-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-03 | 2016-07-17 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-06-03 | 2016-07-17 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2016-06-03 | 2016-07-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-06-03 | 2016-07-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-03 | 2016-07-17 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-06-03 | 2016-07-17 | N |
