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Deficiency Records for Overlook Masonic Health Center
A list of the most recent deficiencies for Overlook Masonic Health 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 Overlook Masonic Health 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-27 | 2024-04-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-02-20 | 2024-04-04 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-02-20 | 2024-04-04 | 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 | 2024-02-20 | 2024-04-04 | 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 | 2024-02-20 | 2024-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-20 | 2024-04-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-02-20 | 2024-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-20 | 2024-04-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-01 | 2023-12-14 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-29 | 2022-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-29 | 2022-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-06 | 2022-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-29 | 2022-02-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-14 | 2022-01-27 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-02 | 2020-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-02 | 2020-03-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-03-02 | 2020-03-18 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-03-02 | 2020-03-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-03-02 | 2020-03-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-28 | 2020-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-28 | 2020-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-28 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-28 | 2020-02-28 | 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 | 2020-01-28 | 2020-02-20 | N |
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