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Deficiency Records for Majestic Care of Newburgh
A list of the most recent deficiencies for Majestic Care of Newburgh. 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 Newburgh. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Develop a communication plan. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Establish methods for sharing information. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-10 | 2024-08-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2024-07-19 | 2024-08-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-19 | 2024-08-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-09 | 2024-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-09 | 2024-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-09 | 2024-05-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-09 | 2024-05-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-09 | 2024-05-31 | 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 | 2024-05-09 | 2024-05-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-09 | 2024-05-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-09 | 2024-05-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-09 | 2024-05-31 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-05-09 | 2024-05-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-09 | 2024-05-31 | 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 | 2024-05-09 | 2024-05-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-09 | 2024-05-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-09 | 2024-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-09 | 2024-05-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-09 | 2024-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-09 | 2024-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-02 | 2024-02-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-02 | 2024-02-14 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2024-01-18 | 2024-02-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-04 | 2024-01-18 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-08-18 | 2023-08-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-18 | 2023-08-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-13 | 2023-01-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-07 | 2022-10-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-19 | 2022-09-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-09-19 | 2022-09-30 | N |
| Develop a communication plan. | Fire Safety | 2022-09-19 | 2022-09-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-09-19 | 2022-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-12 | 2022-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-12 | 2022-09-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-12 | 2022-09-01 | N |
| Post nurse staffing information every day. | Health | 2022-08-12 | 2022-09-01 | 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 | 2022-08-12 | 2022-09-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-12 | 2022-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-12 | 2022-09-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-11 | 2022-09-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-11 | 2022-09-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-08 | 2022-02-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-17 | 2021-06-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-17 | 2021-06-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-17 | 2021-06-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-17 | 2021-06-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-17 | 2021-06-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-05-06 | 2021-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-06 | 2021-05-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-06 | 2021-05-22 | 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 | 2021-05-06 | 2021-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-05-22 | N |
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