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Deficiency Records for Marshall Rehab and Nursing
A list of the most recent deficiencies for Marshall Rehab and Nursing. 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 Marshall Rehab and Nursing. 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? |
|---|---|---|---|---|
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-30 | 2024-05-16 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-23 | 2024-05-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-23 | 2024-05-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-23 | 2024-05-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-12 | 2024-05-01 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-04-12 | 2024-04-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2024-04-12 | 2024-04-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-23 | 2024-04-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-23 | 2024-04-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-12 | 2024-04-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-12 | 2024-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-12 | 2024-04-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-04-12 | 2024-04-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-12 | 2024-04-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-04-12 | 2024-04-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-12 | 2024-04-19 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-04-12 | 2024-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-12 | 2024-04-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-03 | 2024-03-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-03 | 2024-03-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-03 | 2024-03-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-23 | 2024-02-29 | Y |
| 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 | 2024-02-15 | 2024-02-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-15 | 2024-02-16 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-31 | 2023-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-31 | 2023-08-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-31 | 2023-08-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-31 | 2023-08-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-07-31 | 2023-08-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-31 | 2023-08-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-31 | 2023-08-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-31 | 2023-08-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-07-31 | 2023-08-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-31 | 2023-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-31 | 2023-08-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-02 | 2023-06-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-06-02 | 2023-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-02 | 2023-06-02 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-06-02 | 2023-06-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-10 | 2023-02-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-10 | 2023-02-21 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-02-10 | 2023-02-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-22 | 2022-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-25 | 2022-03-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-25 | 2022-03-30 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-03-25 | 2022-03-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-25 | 2022-03-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-25 | 2022-03-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-25 | 2022-03-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-25 | 2022-03-30 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-22 | 2022-03-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-22 | 2022-03-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-22 | 2022-03-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-01-04 | 2022-01-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-04 | 2022-01-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-29 | 2021-09-29 | Y |
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