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Deficiency Records for Motion Picture and T.V. Hosp D/p Snf
A list of the most recent deficiencies for Motion Picture and T.V. Hosp D/p Snf. 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 Motion Picture and T.V. Hosp D/p Snf. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-04 | 2024-04-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-04 | 2024-04-27 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-04-04 | 2024-04-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-04 | 2024-04-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-04 | 2024-04-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-04 | 2024-04-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-04 | 2024-04-27 | 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 | 2024-04-04 | 2024-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-04 | 2024-04-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-04-04 | 2024-04-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-04 | 2024-04-27 | 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 | 2024-04-04 | 2024-04-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-04 | 2024-04-27 | N |
| Dispose of garbage and refuse properly. | Health | 2024-04-04 | 2024-04-27 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-04-04 | 2024-04-27 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-04-04 | 2024-04-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-04 | 2024-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-04 | 2024-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-08 | 2024-04-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-04-08 | 2024-04-09 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2023-07-28 | 2023-09-13 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-17 | 2023-05-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-14 | 2023-05-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-14 | 2023-05-05 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-04-14 | 2023-05-05 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-04-14 | 2023-05-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-14 | 2023-05-05 | 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 | 2023-04-14 | 2023-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-05-05 | 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 | 2023-04-14 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-14 | 2023-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-14 | 2023-05-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Establish methods for sharing information. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-15 | 2019-12-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-11-15 | 2019-12-06 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-11-15 | 2019-12-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-15 | 2019-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-15 | 2019-12-06 | 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 | 2019-11-15 | 2019-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-15 | 2019-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-15 | 2019-12-06 | N |
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