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Deficiency Records for Majestic Care of New Haven
A list of the most recent deficiencies for Majestic Care of New Haven. 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 Majestic Care of New Haven. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-14 | 2024-07-01 | Y |
| 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 | 2024-06-14 | 2024-07-01 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-16 | 2024-05-02 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-03-08 | 2024-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-08 | 2024-03-26 | 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 | 2024-03-08 | 2024-03-26 | 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 | 2024-03-08 | 2024-03-26 | N |
| Dispose of garbage and refuse properly. | Health | 2024-03-08 | 2024-03-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-08 | 2024-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-08 | 2024-03-26 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-03-08 | 2024-03-26 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-31 | 2023-09-22 | Y |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2023-05-25 | 2023-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-25 | 2023-06-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-25 | 2023-06-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-25 | 2023-06-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-19 | 2023-06-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-19 | 2023-06-22 | Y |
| 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 | 2023-05-12 | 2023-05-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-12 | 2023-05-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-12 | 2023-05-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-04-04 | 2023-04-19 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-17 | 2023-03-28 | Y |
| 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 | 2023-02-20 | 2023-02-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-07 | 2023-02-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-04 | 2022-11-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Develop a communication plan. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-08-15 | 2022-09-22 | 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 | 2022-08-15 | 2022-09-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Have an externally vented heating system. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-08-15 | 2022-09-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-18 | 2022-07-29 | N |
| 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 | 2022-07-18 | 2022-07-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-18 | 2022-07-29 | 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 | 2022-07-18 | 2022-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-18 | 2022-07-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-07-18 | 2022-07-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-18 | 2022-07-29 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-27 | 2022-05-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-27 | 2022-05-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-21 | Not Fixed | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-21 | Not Fixed | N |
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