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Deficiency Records for Monmouth Nursing Home
A list of the most recent deficiencies for Monmouth Nursing Home. 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 Monmouth Nursing Home. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-21 | 2024-05-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-29 | 2023-12-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-11-28 | 2023-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-29 | 2023-12-19 | 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 | 2023-11-29 | 2023-12-19 | 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 | 2023-11-29 | 2023-12-19 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-11-29 | 2023-12-19 | 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 | 2023-11-29 | 2023-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-29 | 2023-12-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-28 | 2023-12-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-28 | 2023-12-18 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-11-29 | 2023-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-28 | 2023-12-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-11-29 | 2023-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-28 | 2023-11-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-28 | 2023-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-01 | 2023-02-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-12 | 2022-11-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-12 | 2022-10-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-12 | 2022-10-19 | 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 | 2022-10-12 | 2022-10-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-12 | 2022-10-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-12 | 2022-10-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-12 | 2022-10-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-12 | 2022-10-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-12 | 2022-10-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-12 | 2022-10-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-12 | 2022-10-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-12 | 2022-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-12 | 2022-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-12 | 2022-10-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-07 | 2022-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-07 | 2022-10-18 | 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 | 2022-10-07 | 2022-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-07 | 2022-10-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-07 | 2022-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-07 | 2022-10-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-07 | 2022-10-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-10-07 | 2022-10-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-25 | 2022-09-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-25 | 2022-09-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-25 | 2022-09-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-25 | 2022-09-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-24 | 2022-06-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-02 | 2021-10-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-02 | 2021-09-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-02 | 2021-09-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-02 | 2021-09-21 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-02 | 2021-09-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-02 | 2021-09-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-02 | 2021-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-09-21 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2021-09-02 | 2021-09-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-02 | 2021-09-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-02 | 2021-09-21 | 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 | 2021-09-02 | 2021-09-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-09-02 | 2021-09-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-09-02 | 2021-09-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-02 | 2021-09-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-02 | 2021-09-21 | N |
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