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Deficiency Records for Majestic Care of North Vernon
A list of the most recent deficiencies for Majestic Care of North Vernon. 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 North Vernon. 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 | 2024-09-04 | 2024-09-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-04 | 2024-09-18 | Y |
| Meet other general requirements. | Fire Safety | 2024-07-08 | 2024-07-28 | 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 | 2024-07-08 | 2024-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-08 | 2024-07-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-08 | 2024-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-08 | 2024-07-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-08 | 2024-07-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-08 | 2024-07-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-08 | 2024-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-08 | 2024-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-02 | 2024-07-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-02 | 2024-07-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-01-29 | 2024-02-13 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-12 | 2023-07-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-12 | 2023-07-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-12 | 2023-07-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-12 | 2023-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-12 | 2023-07-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-12 | 2023-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-12 | 2023-07-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-12 | 2023-07-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-12 | 2023-07-12 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-06-12 | 2023-07-12 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-05-15 | 2023-06-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-15 | 2023-06-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-15 | 2023-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-15 | 2023-06-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-15 | 2023-06-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-15 | 2023-06-02 | 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 | 2023-05-15 | 2023-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-15 | 2023-06-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-15 | 2023-06-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-17 | 2023-04-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-17 | 2023-01-26 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-18 | 2022-12-19 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-09-21 | 2022-10-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-26 | 2022-09-19 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-26 | 2022-09-16 | 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 | 2022-07-26 | 2022-09-16 | 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 | 2022-07-26 | 2022-09-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-26 | 2022-09-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-29 | 2022-07-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-29 | 2022-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-07-18 | 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 | 2022-06-29 | 2022-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-29 | 2022-07-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-29 | 2022-07-18 | 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 | 2022-06-29 | 2022-07-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-06-29 | 2022-07-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-23 | 2022-06-10 | Y |
| 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 | 2022-03-10 | 2022-03-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-10 | 2022-03-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-10 | 2022-03-25 | Y |
| Provide or obtain dental services for each resident. | Health | 2022-03-10 | 2022-03-25 | Y |
| 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 | 2021-12-21 | 2021-12-22 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-11-12 | 2021-11-18 | Y |
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