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Deficiency Records for Allure of Mendota

A list of the most recent deficiencies for Allure of Mendota. 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 Allure of Mendota. 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 2024-12-31 2025-01-01 Y
Establish staff and initial training requirements. Fire Safety 2024-11-13 2024-12-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-11-13 2024-12-02 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-11-13 2024-12-02 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2024-11-13 2024-12-02 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-11-15 2024-11-16 N
Ensure medication error rates are not 5 percent or greater. Health 2024-11-15 2024-11-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-11-07 2024-11-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-11-07 2024-11-08 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-11-07 2024-11-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-09-11 2024-09-12 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-10-20 2023-11-10 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 2023-10-20 2023-11-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-10-20 2023-11-10 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 2023-10-20 2023-11-10 N
Provide enough food/fluids to maintain a resident's health. Health 2023-10-20 2023-11-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-10-20 2023-11-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-10-20 2023-11-10 N
Ensure that residents are free from significant medication errors. Health 2023-10-20 2023-11-10 N
Provide and implement an infection prevention and control program. Health 2023-10-20 2023-11-10 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-10-20 2023-11-10 N
Have exits that are accessible at all times. Fire Safety 2023-10-26 2023-11-09 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-10-26 2023-11-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-26 2023-11-09 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-10-26 2023-11-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-26 2023-11-09 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-10-12 2022-10-28 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 2022-10-12 2022-10-28 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-21 2022-10-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-21 2022-10-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-22 2022-10-14 N
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 2022-09-22 2022-10-14 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-09-22 2022-10-14 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 2022-09-22 2022-10-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-21 2022-10-07 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-09-21 2022-10-07 N

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