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Deficiency Records for Mayers Memorial Hospital
A list of the most recent deficiencies for Mayers Memorial Hospital. 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 Mayers Memorial Hospital. 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 | 2024-05-13 | 2024-06-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-05-13 | 2024-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-13 | 2024-06-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-05-13 | 2024-06-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-13 | 2024-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-13 | 2024-06-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-09 | 2024-05-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-09 | 2024-05-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-09 | 2024-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-05-23 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-09 | 2024-05-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-09 | 2024-05-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-20 | 2024-02-02 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-11-02 | 2023-12-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-05 | 2023-06-05 | 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 | 2023-05-05 | 2023-06-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-05 | 2023-06-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-05 | 2023-06-05 | 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 | 2023-05-05 | 2023-06-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-05 | 2023-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-06-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-05-05 | 2023-06-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-05-05 | 2023-06-05 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-05-05 | 2023-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-05 | 2023-06-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-05 | 2023-06-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-09 | 2023-05-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-09 | 2023-05-30 | 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 | 2023-05-09 | 2023-05-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-09 | 2023-05-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-09 | 2023-05-30 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-09 | 2023-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-05-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-09 | 2023-05-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-09 | 2023-05-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-05-09 | 2023-05-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-09 | 2023-05-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-09 | 2023-05-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-02 | 2023-03-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-02 | 2023-03-07 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-02-08 | 2022-03-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-10 | 2019-12-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-10 | 2019-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-12-02 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-17 | 2019-10-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-17 | 2019-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-17 | 2019-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-17 | 2019-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-17 | 2019-10-22 | N |
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