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Deficiency Records for Majestic Care of Livonia
A list of the most recent deficiencies for Majestic Care of Livonia. 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 Majestic Care of Livonia. 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 pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-24 | 2024-08-05 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-07-18 | 2024-07-30 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-07-18 | 2024-07-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-01 | 2024-07-26 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-07-18 | 2024-07-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-04 | 2024-04-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-22 | 2024-02-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-28 | 2023-12-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-31 | 2023-11-13 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-11-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-04 | 2023-11-04 | 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 | 2023-10-04 | 2023-10-13 | 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 | 2023-10-13 | 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 | 2023-10-13 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-04 | 2023-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-04 | 2023-10-13 | 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 | 2023-10-04 | 2023-10-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-04 | 2023-10-13 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-10-04 | 2023-10-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-04 | 2023-10-13 | Y |
| 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 | 2023-10-13 | Y |
| 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 | 2023-08-23 | 2023-08-24 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-13 | 2023-06-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-07 | 2022-10-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-07 | 2022-10-08 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-04 | 2022-09-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-04 | 2022-09-23 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-08-04 | 2022-08-19 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-08-04 | 2022-08-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-04 | 2022-08-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-04 | 2022-08-19 | 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 | 2022-08-04 | 2022-08-19 | N |
| Post nurse staffing information every day. | Health | 2022-08-04 | 2022-08-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-08-04 | 2022-08-19 | 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 | 2022-08-04 | 2022-08-19 | 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 | 2022-08-04 | 2022-08-19 | 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 | 2022-08-04 | 2022-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-04 | 2022-08-19 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-08-04 | 2022-08-19 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-04 | 2022-08-19 | Y |
| 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 | 2022-08-04 | 2022-08-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-04 | 2022-08-19 | 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 | 2022-08-04 | 2022-08-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-08-04 | 2022-08-19 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-08-04 | 2022-08-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-04 | 2022-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-08-19 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-08-04 | 2022-08-19 | 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 | 2022-08-04 | 2022-08-19 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-04 | 2022-08-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-04 | 2022-08-19 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-07 | 2022-07-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-07 | 2022-07-19 | N |
| Report COVID19 data to residents and families. | Health | 2022-07-07 | 2022-07-19 | 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 | 2022-03-16 | 2022-03-18 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-14 | 2022-02-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-14 | 2022-02-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-14 | 2022-02-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-14 | 2022-02-28 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-04-07 | 2021-05-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-04-07 | 2021-05-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-07 | 2021-05-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-04-07 | 2021-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-07 | 2021-05-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-07 | 2021-05-18 | 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 | 2021-04-07 | 2021-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-07 | 2021-05-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-08 | 2021-05-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-08 | 2021-05-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-08 | 2021-05-18 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-04-08 | 2021-05-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-04-08 | 2021-05-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-08 | 2021-05-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-04-08 | 2021-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-08 | 2021-05-18 | N |
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