Deficiency Records for Estates Healthcare and Rehabilitation Center
Updated as of March 01, 2022
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? |
---|---|---|---|---|
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-17 | 2021-12-16 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-17 | 2021-12-16 | N |
Provide and implement an infection prevention and control program. | Health | 2021-11-17 | 2021-12-16 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-30 | 2021-11-01 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-29 | 2021-11-01 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-29 | 2021-11-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-29 | 2021-11-01 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-09 | 2021-10-20 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-01 | 2021-04-26 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-10 | 2020-12-29 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-12-10 | 2020-12-29 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-09-22 | 2020-10-16 | Y |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-05-17 | 2019-05-24 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-17 | 2019-05-24 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-05-17 | 2019-05-24 | Y |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-16 | 2019-05-24 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-16 | 2019-05-24 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-05-16 | 2019-05-24 | 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 | 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 | 2018-06-15 | 2018-07-20 | 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 | 2018-06-15 | 2018-07-20 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-06-15 | 2018-07-20 | N |
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 | N |
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 | N |
Provide and implement an infection prevention and control program. | Health | 2018-06-15 | 2018-07-20 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-06-15 | 2018-07-20 | N |
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 |
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 | 2021-09-09 | Not Fixed | Y |