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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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