Inspection visit
Inspection
Citations
49 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F582 - The facility must—
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F584 - Safe Environment
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.
F623 - Transfer and discharge-
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F644 - Coordination
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F656 - Comprehensive Care Plans
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F657 - Comprehensive Care Plans
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F684 - Quality of care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F686 - Skin Integrity
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F688 - Mobility
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.
- 0015GeneralS&S Cno actual harm
Address subsistence needs for staff and patients.
- 0018GeneralS&S Cno actual harm
Establish procedures for tracking staff and patients during an emergency.
- 0020GeneralS&S Cno actual harm
Establish policies and procedures including evacuation.
- 0023GeneralS&S Cno actual harm
Establish policies and procedures for medical documentation.
- 0024GeneralS&S Cno actual harm
Establish policies and procedures for volunteers.
- 0036GeneralS&S Fpotential for harm
Establish emergency prep training and testing.
- 0037GeneralS&S Cno actual harm
Establish staff and initial training requirements.
- 0039GeneralS&S Cno actual harm
Conduct testing and exercise requirements.
- 0041GeneralS&S Cno actual harm
Implement emergency and standby power systems.
- 0345GeneralS&S Epotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0347GeneralS&S Epotential for harm
Properly provide smoke detection systems in areas open to corridors.
- 0355GeneralS&S Dpotential for harm
Properly select, install, inspect, or maintain portable fire extinguishes.
- 0363GeneralS&S Dpotential for harm
Install corridor and hallway doors that block smoke.
F741 - The facility must have sufficient staff who provide direct services to
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
F679 - Activities
Provide activities to meet all resident's needs.
F689 - Accidents
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F757 - Unnecessary Drugs—General
Ensure each resident’s drug regimen must be free from unnecessary drugs.
F790 - Dental services
Provide routine and 24-hour emergency dental care for each resident.
F808 - Therapeutic Diets
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
F812 - Food safety requirements
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F842 - Resident-identifiable information
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F868 - Quality assessment and assurance
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F880 - Infection Control
Provide and implement an infection prevention and control program.
F908 - Maintain all mechanical, electrical, and patient care equipment in safe
Keep all essential equipment working safely.
- 0001GeneralS&S Fpotential for harm
Establish an Emergency Preparedness Program (EP).
- 0004GeneralS&S Fpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0006GeneralS&S Fpotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0007GeneralS&S Cno actual harm
Address patient/client population and determine types of services needed.
- 0009GeneralS&S Cno actual harm
Include a process for Emergency Preparedness collaboration.
- 0013GeneralS&S Cno actual harm
Develop Emergency Preparedness policies and procedures.
- 0022GeneralS&S Cno actual harm
Establish policies and procedures for sheltering.
- 0025GeneralS&S Cno actual harm
Create arrangements with other facilities to receive patients.
- 0026GeneralS&S Cno actual harm
Establish roles under a Waiver declared by secretary.
- 0029GeneralS&S Fpotential for harm
Develop a communication plan.
- 0030GeneralS&S Cno actual harm
List the names and contact information of those in the facility.
- 0031GeneralS&S Cno actual harm
Provide emergency officials' contact information.
- 0032GeneralS&S Cno actual harm
Provide primary/alternate means for communication.
- 0033GeneralS&S Cno actual harm
Establish methods for sharing information.
- 0034GeneralS&S Cno actual harm
Provide a means of sharing information on occupancy/needs.
- 0035GeneralS&S Cno actual harm
Provide family notifications of emergency plan.
FAQ · About this visit
Common questions about this visit
What happened during the April 18, 2019 survey of EMPORIA REHABILITATION AND HEALTHCARE CENTER?
This was a inspection survey of EMPORIA REHABILITATION AND HEALTHCARE CENTER on April 18, 2019. The surveyor cited 49 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at EMPORIA REHABILITATION AND HEALTHCARE CENTER on April 18, 2019?
Yes, 49 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.