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Deficiency Records for Marlora Post Acute Rehab Hosp

A list of the most recent deficiencies for Marlora Post Acute Rehab Hosp. 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 Marlora Post Acute Rehab Hosp. 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 2024-09-13 2024-10-11 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-09-13 2024-10-11 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-09-13 2024-10-11 Y
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 2024-08-26 2024-09-25 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-07-18 2024-08-05 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-29 2024-02-28 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-12-08 2023-12-31 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-08 2023-12-31 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-12-08 2023-12-31 N
Ensure medication error rates are not 5 percent or greater. Health 2023-12-08 2023-12-31 N
Provide or obtain dental services for each resident. Health 2023-12-08 2023-12-31 N
Provide and implement an infection prevention and control program. Health 2023-12-08 2023-12-31 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 2023-11-14 2023-12-14 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-19 2023-11-18 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-10-19 2023-11-18 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-10-19 2023-11-18 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-25 2023-10-20 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-12 2023-02-12 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-12-09 2023-01-09 N
Ensure each resident receives an accurate assessment. Health 2022-12-09 2023-01-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-09 2023-01-09 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-12-09 2023-01-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-09 2023-01-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-09 2023-01-09 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 2022-12-09 2023-01-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-09 2023-01-09 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-12-09 2023-01-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-12-09 2023-01-09 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 2022-12-09 2023-01-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-09 2023-01-09 N
Provide and implement an infection prevention and control program. Health 2022-12-09 2023-01-09 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-08 2023-01-08 N
Provide enough food/fluids to maintain a resident's health. Health 2022-12-06 2022-12-22 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-11-22 2022-12-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-02 2022-09-02 Y
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 2019-07-23 2019-08-22 N
Ensure each resident receives an accurate assessment. Health 2019-07-23 2019-08-22 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2019-07-23 2019-08-22 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-07-23 2019-08-22 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-07-23 2019-08-22 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-07-23 2019-08-22 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 2019-07-23 2019-08-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-07-23 2019-08-22 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-07-23 2019-08-22 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-07-20 2019-08-12 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2019-07-20 2019-08-12 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2019-07-20 2019-08-12 N
Have power receptacles that are properly grounded. Fire Safety 2019-07-20 2019-08-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-07-20 2019-08-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-07-20 2019-08-12 N
Ensure that sources of ignition are removed from patients receiving respiratory therapy. Fire Safety 2019-07-20 2019-08-12 N

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