Deficiency Records for Ebony Lake Nursing and Rehabilitation Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Ebony Lake Nursing 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?
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-06 2023-11-07 Y
Keep residents' personal and medical records private and confidential. Health 2023-06-30 2023-07-01 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 2023-06-30 2023-07-01 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 2023-06-30 2023-07-01 N
Provide and implement an infection prevention and control program. Health 2022-06-30 2022-07-25 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-01 2022-04-23 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-04-01 2022-04-23 Y
Provide and implement an infection prevention and control program. Health 2022-04-01 2022-04-23 Y
Respond appropriately to all alleged violations. Health 2022-03-16 2022-03-25 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-03-16 2022-03-25 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-16 2022-03-25 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-10-22 2020-10-28 N
Ensure medication error rates are not 5 percent or greater. Health 2020-10-22 2020-10-28 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2020-10-21 2020-10-28 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2020-10-21 2020-10-28 N