A list of the most recent deficiencies for Immanuel's Healthcare. 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 | 2024-01-22 | 2024-03-07 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-23 | 2023-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-04-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-23 | 2023-04-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-23 | 2023-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-23 | 2023-04-20 | N |
| Meet other general requirements. | Fire Safety | 2023-03-23 | 2023-04-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-06 | 2023-03-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-06 | 2023-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-06 | 2023-03-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-06 | 2023-03-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-19 | 2022-11-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-19 | 2022-11-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-10 | 2022-09-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-17 | 2022-08-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-17 | 2022-08-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-17 | 2022-08-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-17 | 2022-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-17 | 2022-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-13 | 2022-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-25 | 2022-02-14 | Y |
| 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 | 2021-12-09 | 2022-01-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-12-09 | 2022-01-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-09 | 2022-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-09 | 2022-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-08 | 2022-01-06 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-12-08 | 2021-12-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-12-09 | 2021-12-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-09 | 2021-12-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-08 | 2021-12-23 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-12-08 | 2021-12-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-03 | 2021-11-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-31 | 2021-09-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-31 | 2021-09-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-04 | 2021-06-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-24 | 2020-11-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-09-24 | 2020-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-24 | 2020-11-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-24 | 2020-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-24 | 2020-11-01 | N |
