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Deficiency Records for Maristhill Nursing and Rehabilitation Center
A list of the most recent deficiencies for Maristhill Nursing and Rehabilitation Center. 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 Maristhill Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-10-25 | 2023-12-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-10-25 | 2023-12-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-25 | 2023-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-25 | 2023-12-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-25 | 2023-12-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-25 | 2023-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-25 | 2023-12-09 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-10-25 | 2023-12-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-04 | 2023-11-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-04 | 2023-11-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-04 | 2023-11-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-04 | 2023-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-04 | 2023-11-18 | 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 | 2023-10-04 | 2023-11-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-04 | 2023-11-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-10-04 | 2023-11-18 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-04 | 2023-11-18 | 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 | 2023-10-04 | 2023-11-18 | 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 | 2023-10-04 | 2023-11-18 | 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 | 2023-10-04 | 2023-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-04 | 2023-11-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-04 | 2023-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-04 | 2023-11-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-04 | 2023-11-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-15 | 2022-10-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-15 | 2022-10-23 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-15 | 2022-10-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-15 | 2022-10-23 | 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 | 2022-09-15 | 2022-10-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-15 | 2022-10-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-15 | 2022-10-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-15 | 2022-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-10-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-15 | 2022-10-23 | 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 | 2022-09-15 | 2022-10-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-15 | 2022-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-10-23 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-07-25 | 2022-08-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-25 | 2022-08-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-25 | 2022-08-10 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-01-17 | 2020-03-02 | N |
| Respond appropriately to all alleged violations. | Health | 2020-01-17 | 2020-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-17 | 2020-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-17 | 2020-03-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-01-17 | 2020-03-02 | N |
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