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Deficiency Records for Montcare at Wheaton
A list of the most recent deficiencies for Montcare at Wheaton. 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 Montcare at Wheaton. 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? |
---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-29 | 2024-09-10 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-07-29 | 2024-08-27 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-07-29 | 2024-08-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-29 | 2024-08-27 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-07-29 | 2024-08-27 | N |
Meet other general requirements that are deficient. | Fire Safety | 2024-07-29 | 2024-08-27 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-07-29 | 2024-08-27 | N |
Respond appropriately to all alleged violations. | Health | 2024-07-11 | 2024-08-19 | 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 | 2024-07-11 | 2024-08-19 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-11 | 2024-08-19 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-11 | 2024-08-19 | Y |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-07-11 | 2024-08-19 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-11 | 2024-08-19 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-11 | 2024-08-19 | 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 | 2024-07-11 | 2024-08-19 | 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 | 2024-07-11 | 2024-08-19 | N |
Assess the resident when there is a significant change in condition | Health | 2024-07-11 | 2024-08-19 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-07-11 | 2024-08-19 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-11 | 2024-08-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-11 | 2024-08-19 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-11 | 2024-08-19 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-07-11 | 2024-08-19 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-11 | 2024-08-19 | 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 | 2024-07-11 | 2024-08-19 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-11 | 2024-08-19 | N |
Ensure that residents are free from significant medication errors. | Health | 2024-07-11 | 2024-08-19 | 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 | 2024-07-11 | 2024-08-19 | N |
Provide or obtain dental services for each resident. | Health | 2024-07-11 | 2024-08-19 | N |
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 | 2024-07-11 | 2024-08-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-11 | 2024-08-19 | N |
Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-08-19 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2024-07-11 | 2024-08-19 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-11 | 2024-08-19 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-11 | 2024-08-19 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-07-11 | 2024-08-19 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-11 | 2024-08-19 | 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 | 2024-07-11 | 2024-08-19 | Y |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-07-11 | 2024-08-19 | Y |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-07-11 | 2024-08-19 | Y |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-11 | 2024-08-19 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-11 | 2024-08-19 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-11 | 2024-08-19 | Y |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-27 | 2019-10-23 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-27 | 2019-10-23 | 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 | 2019-09-27 | 2019-10-23 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-27 | 2019-10-23 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-27 | 2019-10-23 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-09-27 | 2019-10-23 | N |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-09-27 | 2019-10-23 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-09-24 | 2019-10-16 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-09-24 | 2019-10-16 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-24 | 2019-10-16 | N |
Honor the resident's right to choose his or her attending physician. | Health | 2018-08-17 | 2018-09-14 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-17 | 2018-09-14 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-17 | 2018-09-14 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-08-17 | 2018-09-14 | 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 | 2018-08-17 | 2018-09-14 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-17 | 2018-09-14 | N |
Provide activities to meet all resident's needs. | Health | 2018-08-17 | 2018-09-14 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-17 | 2018-09-14 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-08-17 | 2018-09-14 | 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 | 2018-08-17 | 2018-09-14 | N |
Ensure that residents are free from significant medication errors. | Health | 2018-08-17 | 2018-09-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-17 | 2018-09-14 | N |
Dispose of garbage and refuse properly. | Health | 2018-08-17 | 2018-09-14 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-17 | 2018-09-14 | N |
Provide and implement an infection prevention and control program. | Health | 2018-08-17 | 2018-09-14 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-17 | 2018-09-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-13 | Not Fixed | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-08-13 | Not Fixed | N |
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