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Deficiency Records for Montello Manor
A list of the most recent deficiencies for Montello Manor. 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 Montello Manor. 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? |
|---|---|---|---|---|
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-05-29 | 2024-06-13 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-12 | 2024-02-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-12 | 2024-02-15 | 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 | 2023-12-12 | 2024-02-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-12 | 2024-02-01 | Y |
| 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 | 2023-12-12 | 2024-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-12 | 2024-02-01 | 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 | 2023-12-12 | 2024-02-01 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-12 | 2024-02-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-12 | 2024-02-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-28 | 2023-12-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-15 | 2023-01-09 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-01-19 | 2022-03-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-19 | 2022-03-08 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-01-19 | 2022-03-08 | 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 | 2022-01-19 | 2022-03-08 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-01-19 | 2022-03-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-19 | 2022-03-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-19 | 2022-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-19 | 2022-03-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-01-19 | 2022-03-08 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-01-19 | 2022-03-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-19 | 2022-03-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-01-19 | 2022-03-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-01-20 | 2022-03-06 | N |
| 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 | 2022-01-20 | 2022-03-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-20 | 2022-03-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-20 | 2022-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-20 | 2022-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-03-06 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-20 | 2022-03-06 | N |
| Keep all essential equipment working safely. | Health | 2022-01-20 | 2022-03-06 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-01-20 | 2022-03-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-18 | 2020-02-10 | 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 | 2019-12-18 | 2020-02-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-18 | 2020-02-10 | 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 | 2019-12-18 | 2020-02-10 | 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 | 2019-12-18 | 2020-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-18 | 2020-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-18 | 2020-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-18 | 2020-01-27 | 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 | 2019-12-18 | 2020-01-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-18 | 2020-01-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-12-18 | 2020-01-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-12-18 | 2020-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-18 | 2020-01-27 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-12-18 | 2020-01-27 | N |
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