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Deficiency Records for Maefair Health Care Center
A list of the most recent deficiencies for Maefair Health 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 Maefair Health 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-27 | 2023-09-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-27 | 2023-09-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-27 | 2023-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-09-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-27 | 2023-09-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-27 | 2023-09-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-27 | 2023-09-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-27 | 2023-09-30 | 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 | 2023-07-27 | 2023-09-30 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-07-27 | 2023-09-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-27 | 2023-09-30 | 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 | 2023-07-20 | 2023-09-07 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-07-20 | 2023-09-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-07-20 | 2023-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-20 | 2023-09-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-20 | 2023-09-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-07-20 | 2023-09-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-20 | 2023-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-20 | 2023-09-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-15 | 2023-04-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-06 | 2023-02-06 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-25 | 2021-09-23 | 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 | 2021-06-25 | 2021-09-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-06-25 | 2021-09-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-25 | 2021-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-25 | 2021-09-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-25 | 2021-09-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-25 | 2021-09-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-25 | 2021-09-23 | 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 | 2021-07-01 | 2021-07-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-01 | 2021-07-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-01 | 2021-07-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-01 | 2021-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-01 | 2021-07-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-21 | 2019-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-03-21 | 2019-04-12 | 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 | 2019-03-21 | 2019-04-12 | N |
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