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Deficiency Records for Methodist Health and Rehab
A list of the most recent deficiencies for Methodist Health and Rehab. 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 Methodist Health and Rehab. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-04 | 2023-09-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-04 | 2023-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-04 | 2023-09-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-08-04 | 2023-09-03 | 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 | 2023-08-04 | 2023-09-03 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-08-04 | 2023-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-04 | 2023-09-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-13 | 2022-06-12 | N |
| 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 | 2022-05-13 | 2022-06-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-13 | 2022-06-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-13 | 2022-06-12 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-05-13 | 2022-06-12 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-05-13 | 2022-06-12 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-05-13 | 2022-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-13 | 2022-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-13 | 2022-06-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-13 | 2022-06-12 | Y |
| Provide appropriate foot care. | Health | 2022-05-13 | 2022-06-12 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-10 | 2022-06-12 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-07 | 2022-04-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-25 | 2021-03-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-02-25 | 2021-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-25 | 2021-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-25 | 2021-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-02-25 | 2021-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-25 | 2021-03-25 | 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 | 2021-02-25 | 2021-03-25 | 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 | 2021-02-25 | 2021-03-25 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-02-25 | 2021-03-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-25 | 2021-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-25 | 2021-03-25 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-02-25 | 2021-02-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-02-25 | 2021-02-25 | N |
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