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Deficiency Records for Masonicare Health Center
A list of the most recent deficiencies for Masonicare Health 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 Masonicare Health 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? |
|---|---|---|---|---|
| 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 | 2024-12-09 | 2025-01-30 | 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 | 2024-12-09 | 2025-01-30 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-12-09 | 2025-01-30 | 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 | 2024-12-09 | 2025-01-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-12-09 | 2025-01-30 | 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 | 2024-12-09 | 2025-01-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-09 | 2025-01-30 | 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 | 2024-12-09 | 2025-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-09 | 2025-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-09 | 2025-01-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-12-09 | 2025-01-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-04 | 2025-01-15 | 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 | 2024-12-04 | 2025-01-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-12-04 | 2025-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-11 | 2024-02-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-04 | 2023-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-25 | 2023-02-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-19 | 2022-06-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-19 | 2022-06-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-19 | 2022-06-23 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-03-18 | 2022-05-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-18 | 2022-05-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-18 | 2022-05-26 | 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 | 2022-03-18 | 2022-05-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-18 | 2022-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-18 | 2022-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-19 | 2022-05-19 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-03-16 | 2022-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-16 | 2022-04-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-16 | 2022-04-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-16 | 2022-04-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-16 | 2022-04-21 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2022-03-16 | 2022-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-16 | 2022-04-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-03-16 | 2022-04-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-29 | 2019-02-11 | 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 | 2019-01-29 | 2019-02-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-29 | 2019-02-11 | 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 | 2019-01-29 | 2019-02-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-25 | 2019-01-26 | N |
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