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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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