Deficiency Records for Mount Carmel Care Center
Updated as of August 01, 2024
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Deficiency Records for Mount Carmel Care Center
A list of the most recent deficiencies for Mount Carmel Care 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 Mount Carmel Care 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-10 | 2024-05-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-10 | 2024-05-17 | 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 | 2024-04-10 | 2024-05-17 | 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 | 2024-04-10 | 2024-05-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-10 | 2024-05-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-10 | 2024-05-17 | 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 | 2024-04-10 | 2024-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-10 | 2024-05-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-10 | 2024-05-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-10 | 2024-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-10 | 2024-05-14 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-04-10 | 2024-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-23 | 2024-04-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-10 | 2024-04-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-23 | 2023-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-23 | 2023-02-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-26 | 2023-02-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-23 | 2023-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-31 | 2023-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-31 | 2023-02-14 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-10-27 | 2021-11-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-09-20 | 2021-10-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-20 | 2021-10-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-20 | 2021-10-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-31 | 2021-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-31 | 2021-10-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-31 | 2021-10-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-31 | 2021-10-15 | 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 | 2021-08-31 | 2021-10-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-31 | 2021-10-15 | N |
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