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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 |
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