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Deficiency Records for Majestic Care of Fort Wayne

A list of the most recent deficiencies for Majestic Care of Fort Wayne. 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 Fort Wayne. 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?
Ensure that residents are free from significant medication errors. Health 2024-07-05 2024-06-06 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 2024-06-21 2024-06-06 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-11 2024-01-26 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-01-11 2024-01-26 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-01-11 2024-01-26 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-28 2023-08-29 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-06-26 2023-07-07 Y
Implement emergency and standby power systems. Fire Safety 2023-01-24 2023-02-25 N
Meet other general requirements that are deficient. Fire Safety 2023-01-24 2023-02-25 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 2023-01-24 2023-02-25 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-01-24 2023-02-25 N
Have an externally vented heating system. Fire Safety 2023-01-24 2023-02-25 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-01-24 2023-02-25 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-01-24 2023-02-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-01-24 2023-02-25 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-01-09 2023-01-20 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-12 2022-07-22 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-04-21 2022-05-09 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-04-21 2022-05-09 Y
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2021-11-29 2022-01-31 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-11-29 2021-12-23 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2021-11-29 2021-12-23 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2021-11-29 2021-12-23 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2021-11-29 2021-12-23 N
Establish policies and procedures including evacuation. Fire Safety 2021-11-29 2021-12-23 N
Establish policies and procedures for sheltering. Fire Safety 2021-11-29 2021-12-23 N
Develop a communication plan. Fire Safety 2021-11-29 2021-12-23 N
Establish emergency prep training and testing. Fire Safety 2021-11-29 2021-12-23 N
Implement emergency and standby power systems. Fire Safety 2021-11-29 2021-12-23 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-11-29 2021-12-23 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 2021-11-29 2021-12-23 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2021-11-29 2021-12-23 N
Provide properly protected cooking facilities. Fire Safety 2021-11-29 2021-12-23 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2021-11-29 2021-12-23 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2021-11-29 2021-12-23 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-11-29 2021-12-23 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-11-29 2021-12-23 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-11-29 2021-12-23 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2021-11-29 2021-12-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-11-29 2021-12-23 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-11-29 2021-12-23 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-12-09 2021-12-10 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-11-12 2021-11-30 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 2021-11-12 2021-11-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-12 2021-11-30 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 2021-11-12 2021-11-30 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 2021-11-12 2021-11-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-12 2021-11-30 N
Provide and implement an infection prevention and control program. Health 2021-11-12 2021-11-30 N
Keep all essential equipment working safely. Health 2021-11-12 2021-11-30 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-11-12 2021-11-30 N
Put firmly secured handrails on each side of hallways. Health 2021-11-12 2021-11-30 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2021-11-12 2021-11-30 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2021-10-27 2021-11-02 Y

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