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Deficiency Records for Malley Transitional Care Center

A list of the most recent deficiencies for Malley Transitional Care Center. 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 Malley Transitional Care Center. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-07 2023-10-03 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 2023-03-30 2023-05-05 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-03-30 2023-05-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-30 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 2023-03-30 2023-05-05 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-03-30 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 2023-03-30 2023-05-05 N
The resident has the right to receive notices in a format and a language he or she understands. Health 2023-03-30 2023-04-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-30 2023-04-28 N
Provide activities to meet all resident's needs. Health 2023-03-30 2023-04-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-30 2023-04-28 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-03-30 2023-04-28 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-03-30 2023-04-28 N
Ensure that residents are free from significant medication errors. Health 2023-03-30 2023-04-28 N
Provide or obtain dental services for each resident. Health 2023-03-30 2023-04-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-30 2023-04-28 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-03-30 2023-04-28 N
Provide and implement an infection prevention and control program. Health 2023-03-30 2023-04-28 N
Have an externally vented heating system. Fire Safety 2023-04-13 2023-04-14 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-04-13 2023-04-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-24 2022-04-20 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-12-03 2019-12-20 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2019-12-03 2019-12-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-12-03 2019-12-19 N
Provide enough food/fluids to maintain a resident's health. Health 2019-11-12 2019-12-17 N
Provide properly protected cooking facilities. Fire Safety 2019-12-03 2019-12-17 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 2019-11-12 2019-12-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-12-03 2019-12-10 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 2019-11-12 2019-12-02 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2018-12-04 2019-01-17 N
Have exits that are accessible at all times. Fire Safety 2018-12-04 2019-01-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2018-12-04 2019-01-14 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2018-11-15 2019-01-04 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 2018-11-15 2018-12-24 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2018-11-15 2018-12-19 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 2018-11-15 2018-12-19 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-11-15 2018-12-10 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 2018-11-15 2018-12-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-11-15 2018-12-10 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2018-12-04 2018-12-04 N

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