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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? |
|---|---|---|---|---|
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-10-24 | 2024-12-05 | N |
| Provide large enough exits. | Fire Safety | 2024-10-24 | 2024-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-24 | 2024-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-24 | 2024-12-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-24 | 2024-12-05 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-10-24 | 2024-12-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-24 | 2024-11-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-26 | 2024-10-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-26 | 2024-10-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-09-26 | 2024-10-25 | 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 | 2024-09-26 | 2024-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-26 | 2024-10-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-09-26 | 2024-10-25 | Y |
| 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 |
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