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Deficiency Records for Moweaqua Rehab and Hcc
A list of the most recent deficiencies for Moweaqua Rehab and Hcc. 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 Moweaqua Rehab and Hcc. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-03 | 2024-09-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-21 | 2024-06-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-05 | 2024-02-26 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-05 | 2024-02-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-05 | 2024-02-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-05 | 2024-02-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-20 | 2023-12-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-20 | 2023-12-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-27 | 2023-12-26 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-11-27 | 2023-12-07 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-10-18 | 2023-11-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-10-26 | 2023-11-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-26 | 2023-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-26 | 2023-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-26 | 2023-11-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-26 | 2023-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-26 | 2023-11-01 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-18 | 2023-10-30 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-10-18 | 2023-10-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-18 | 2023-10-30 | 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 | 2023-10-18 | 2023-10-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-18 | 2023-10-30 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-10-18 | 2023-10-30 | 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 | 2023-10-18 | 2023-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-18 | 2023-10-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-16 | 2023-08-31 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-04 | 2023-08-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-04 | 2023-07-17 | Y |
| 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 | 2023-06-06 | 2023-06-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-22 | 2023-03-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-28 | 2023-01-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-28 | 2023-01-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-28 | 2023-01-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-29 | 2022-12-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-09-29 | 2022-12-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-26 | 2022-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-08 | 2022-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-12-20 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-29 | 2022-12-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-09-29 | 2022-12-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-29 | 2022-12-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-29 | 2022-12-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-29 | 2022-12-14 | 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 | 2022-09-29 | 2022-12-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-29 | 2022-12-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-29 | 2022-12-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-29 | 2022-12-14 | 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 | 2022-09-29 | 2022-12-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-09-29 | 2022-12-14 | 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 | 2022-09-29 | 2022-12-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-29 | 2022-12-14 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-09-29 | 2022-12-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-29 | 2022-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-29 | 2022-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-12-14 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-09-29 | 2022-12-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-26 | 2022-12-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-26 | 2022-12-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-26 | 2022-12-14 | Y |
| 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 | 2022-10-26 | 2022-12-14 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-10 | 2022-12-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-10 | 2022-12-02 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-28 | 2022-10-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-28 | 2022-10-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-28 | 2022-10-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-28 | 2022-10-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-28 | 2022-10-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-28 | 2022-10-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-28 | 2022-10-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-28 | 2022-10-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-11 | 2022-06-03 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-05-11 | 2022-06-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-11 | 2022-06-03 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-04-29 | 2022-05-16 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-04-29 | 2022-05-16 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-04-29 | 2022-05-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-29 | 2022-05-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-01 | 2022-04-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-04 | 2022-03-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-25 | 2022-02-02 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-20 | 2021-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-08-20 | 2021-09-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-08-20 | 2021-09-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-20 | 2021-09-16 | 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 | 2021-08-20 | 2021-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-20 | 2021-09-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-20 | 2021-09-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-08-18 | 2021-09-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-18 | 2021-09-14 | N |
| Post nurse staffing information every day. | Health | 2021-08-18 | 2021-09-14 | 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 | 2021-08-18 | 2021-09-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-08-18 | 2021-09-14 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-08-18 | 2021-09-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-20 | 2021-09-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-08-20 | 2021-09-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Develop a communication plan. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Establish methods for sharing information. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-20 | 2021-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-20 | 2021-08-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-20 | 2021-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-20 | 2021-08-23 | N |
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