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Deficiency Records for Medicalodges Jackson County

A list of the most recent deficiencies for Medicalodges Jackson County. 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 Medicalodges Jackson County. 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?
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-08-19 2024-09-05 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-19 2024-09-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-19 2024-09-05 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-03-05 2024-03-15 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 2024-03-05 2024-03-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-03-05 2024-03-15 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 2024-03-05 2024-03-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-03-05 2024-03-15 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-03-05 2024-03-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-03-05 2024-03-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-03-05 2024-03-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-03-05 2024-03-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-05 2024-03-15 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2024-03-05 2024-03-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-03-05 2024-03-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-29 2024-02-26 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-01-29 2024-02-26 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-01-29 2024-02-26 N
Respond appropriately to all alleged violations. Health 2024-01-29 2024-02-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-29 2024-02-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-29 2024-02-26 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-01-29 2024-02-26 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2024-01-29 2024-02-26 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2024-01-29 2024-02-26 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-01-29 2024-02-26 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 2024-01-29 2024-02-26 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-01-29 2024-02-26 N
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Health 2024-01-29 2024-02-26 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-01-29 2024-02-26 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2024-01-29 2024-02-26 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-01-29 2024-02-26 N
Provide and implement an infection prevention and control program. Health 2024-01-29 2024-02-26 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-01-29 2024-02-26 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-16 2023-10-09 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-10-17 2022-11-04 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 2022-10-17 2022-11-04 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-17 2022-11-04 Y
Use approved construction type or materials. Fire Safety 2022-09-27 2022-10-26 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-09-27 2022-10-26 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 2022-09-27 2022-10-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-27 2022-10-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-09-27 2022-10-26 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-09-27 2022-10-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-09-27 2022-10-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-27 2022-10-26 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 2022-08-10 2022-09-16 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 2022-08-10 2022-09-16 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-08-10 2022-09-16 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 2022-08-10 2022-09-16 N
Ensure medication error rates are not 5 percent or greater. Health 2022-08-10 2022-09-16 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 2022-08-10 2022-09-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-10 2022-09-16 N
Provide and implement an infection prevention and control program. Health 2022-08-10 2022-09-16 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-08-10 2022-09-16 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-08-10 2022-09-16 N
Ensure that residents are free from significant medication errors. Health 2022-06-08 2022-05-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-09 2022-03-31 Y
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 2022-03-09 2022-03-31 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-14 2021-11-26 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2021-10-14 2021-11-26 Y
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 2021-10-14 2021-11-26 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-10-14 2021-11-26 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-05-27 2021-07-05 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2021-05-27 2021-07-05 N
Create arrangements with other facilities to receive patients. Fire Safety 2021-05-27 2021-07-05 N
Conduct testing and exercise requirements. Fire Safety 2021-05-27 2021-07-05 N
Use approved construction type or materials. Fire Safety 2021-05-27 2021-07-05 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-05-27 2021-07-05 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 2021-05-27 2021-07-05 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-05-27 2021-07-05 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 2021-05-27 2021-07-05 N
Provide properly protected cooking facilities. Fire Safety 2021-05-27 2021-07-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-05-27 2021-07-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-05-27 2021-07-05 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2021-05-27 2021-07-05 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2021-05-27 2021-07-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-27 2021-07-05 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-05-27 2021-07-05 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-05-27 2021-07-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-05-27 2021-07-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-05-27 2021-07-05 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-05-27 2021-07-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-05-27 2021-07-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-05-27 2021-07-05 N
Have proper medical gas storage and administration areas. Fire Safety 2021-05-27 2021-07-05 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-04-08 2021-05-06 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 2021-04-08 2021-05-06 N
Ensure each resident receives an accurate assessment. Health 2021-04-08 2021-05-06 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2021-04-08 2021-05-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-08 2021-05-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-08 2021-05-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-08 2021-05-06 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 2021-04-08 2021-05-06 N
Provide enough food/fluids to maintain a resident's health. Health 2021-04-08 2021-05-06 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-04-08 2021-05-06 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-04-08 2021-05-06 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 2021-04-08 2021-05-06 N
Ensure medication error rates are not 5 percent or greater. Health 2021-04-08 2021-05-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-08 2021-05-06 N
Provide and implement an infection prevention and control program. Health 2021-04-08 2021-05-06 N
Implement a program that monitors antibiotic use. Health 2021-04-08 2021-05-06 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-04-08 2021-05-06 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-04-08 2021-05-06 N

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