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Deficiency Records for Merry Wood Lodge
A list of the most recent deficiencies for Merry Wood Lodge. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Merry Wood Lodge. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-08-28 | 2024-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-28 | 2024-10-01 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-08-28 | 2024-10-01 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2024-08-28 | 2024-10-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-28 | 2024-10-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-08-28 | 2024-10-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-01 | 2024-09-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-09-01 | 2024-09-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-01 | 2024-09-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-01 | 2024-09-26 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-09-01 | 2024-09-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-09-01 | 2024-09-26 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-09-01 | 2024-09-26 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-09-01 | 2024-09-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-03 | 2020-04-01 | N |
| Post nurse staffing information every day. | Health | 2020-03-03 | 2020-04-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-03-03 | 2020-04-01 | 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 | 2020-03-03 | 2020-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-03 | 2020-04-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-03 | 2020-04-01 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2020-03-10 | 2020-03-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-10 | 2020-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-13 | 2019-01-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-13 | 2019-01-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-12-13 | 2019-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-13 | 2019-01-17 | N |
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