Deficiency Records for Ebony Lake Nursing and Rehabilitation Center
Updated as of February 01, 2017
This is not the most recent data for Ebony Lake Nursing and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-12-01 | 2016-12-16 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-12-01 | 2016-12-16 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-12-01 | 2016-12-16 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-01 | 2016-12-16 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-01 | 2016-12-16 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-11-18 | 2016-12-13 | 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 | 2016-11-18 | 2016-12-13 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-11-18 | 2016-12-13 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-18 | 2016-12-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-18 | 2016-12-13 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-18 | 2016-12-13 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-11-18 | 2016-12-13 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-11-18 | 2016-12-13 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-09-09 | 2016-09-30 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-22 | 2016-07-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-06-09 | 2016-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-24 | 2016-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-04 | 2016-04-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-04 | 2016-03-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-02-04 | 2016-03-11 | 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 | 2016-02-04 | 2016-03-11 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-04 | 2016-03-11 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-02-04 | 2016-03-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-04 | 2016-03-11 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-02-04 | 2016-03-11 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-04 | 2016-03-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-04 | 2016-03-11 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-02-04 | 2016-03-11 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-04 | 2016-03-11 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-04 | 2016-03-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-04 | 2016-03-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-02-04 | 2016-03-11 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-02-04 | 2016-03-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-12-17 | 2016-01-22 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-12-17 | 2016-01-22 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-12-17 | 2016-01-22 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-12-17 | 2016-01-22 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-02-11 | 2015-03-06 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-02-11 | 2015-03-06 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-02-11 | 2015-03-06 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2015-02-11 | 2015-03-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-02-11 | 2015-03-06 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2015-02-11 | 2015-03-06 | N |
| Provide housekeeping and maintenance services. | Health | 2014-02-06 | 2014-03-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-02-06 | 2014-03-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-06 | 2014-03-03 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2014-02-06 | 2014-03-03 | N |
