A list of the most recent deficiencies for Continuing Care at Eagles Trace. 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? |
|---|---|---|---|---|
| Dispose of garbage and refuse properly. | Health | 2023-06-16 | 2023-07-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-15 | 2023-07-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-15 | 2023-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-15 | 2023-07-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-15 | 2023-07-18 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-06-15 | 2023-07-18 | 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 | 2022-05-12 | 2022-06-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-11 | 2022-06-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-11 | 2022-06-10 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-02-13 | 2020-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-03-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-13 | 2020-03-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-13 | 2020-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-13 | 2020-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-13 | 2020-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-13 | 2020-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-13 | 2020-02-19 | N |
