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Deficiency Records for Madrid Home For The Aged
A list of the most recent deficiencies for Madrid Home For The Aged. 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 Madrid Home For The Aged. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Establish methods for sharing information. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-06-10 | 2024-07-10 | 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 | 2024-06-10 | 2024-07-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-06-10 | 2024-07-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-06 | 2024-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-06 | 2024-06-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-06 | 2024-06-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-29 | 2023-04-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-29 | 2023-04-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-04-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-29 | 2023-04-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-29 | 2023-04-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-29 | 2023-04-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-29 | 2023-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-29 | 2023-04-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-29 | 2023-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-27 | 2023-04-27 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-03-27 | 2023-04-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-27 | 2023-04-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-27 | 2023-04-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-27 | 2023-04-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-27 | 2023-04-27 | 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 | 2023-03-27 | 2023-04-27 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-29 | 2023-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-20 | 2023-01-10 | 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 | 2021-11-22 | 2021-12-21 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-22 | 2021-12-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-11-22 | 2021-12-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-22 | 2021-12-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-22 | 2021-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-22 | 2021-12-21 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-16 | 2021-12-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-11-16 | 2021-12-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-11-16 | 2021-12-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-22 | 2021-12-07 | Y |
| 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 | 2021-11-16 | 2021-11-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-16 | 2021-11-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-16 | 2021-11-23 | N |
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