Deficiency Records for Eagle Pass Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Eagle Pass Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-23 | 2023-03-27 | 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 | 2023-02-23 | 2023-03-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-23 | 2023-03-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-23 | 2023-03-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-23 | 2023-02-25 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-12-15 | 2021-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-15 | 2021-12-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-15 | 2021-12-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-15 | 2021-12-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-15 | 2021-12-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-27 | 2021-09-27 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-09-11 | 2020-10-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-11 | 2020-10-09 | 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 | 2020-09-11 | 2020-10-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-09-11 | 2020-10-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-11 | 2020-10-09 | 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 | 2020-09-11 | 2020-10-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-11 | 2020-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-11 | 2020-10-09 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-09-10 | 2020-10-09 | 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 | 2020-09-10 | 2020-10-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
