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Deficiency Records for Marlborough Hills Rehabilitation and Hlth Care Ctr
A list of the most recent deficiencies for Marlborough Hills Rehabilitation and Hlth Care Ctr. 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 Marlborough Hills Rehabilitation and Hlth Care Ctr. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-28 | 2024-03-14 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-12-22 | 2024-01-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-12-22 | 2024-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-22 | 2024-01-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-22 | 2024-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-22 | 2024-01-18 | 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 | 2023-12-22 | 2024-01-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-22 | 2024-01-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-30 | 2024-01-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-30 | 2024-01-12 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-05 | 2022-12-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-05 | 2022-12-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-05 | 2022-12-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-05 | 2022-12-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-05 | 2022-12-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-05 | 2022-12-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-06-23 | 2022-08-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-23 | 2022-08-09 | 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 | 2022-06-23 | 2022-08-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-23 | 2022-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-23 | 2022-08-09 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-23 | 2022-08-09 | N |
| Provide appropriate foot care. | Health | 2022-06-23 | 2022-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-23 | 2022-08-09 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-06-23 | 2022-08-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-23 | 2022-08-09 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-06-23 | 2022-08-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-23 | 2022-08-09 | N |
| Report COVID19 data to residents and families. | Health | 2022-06-23 | 2022-08-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-24 | 2022-05-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-24 | 2022-05-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-24 | 2022-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-09 | 2021-12-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-12-16 | Y |
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