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Deficiency Records for Majestic Care of Flushing

A list of the most recent deficiencies for Majestic Care of Flushing. 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 Flushing. 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 2024-05-23 2024-08-26 N
Have an externally vented heating system. Fire Safety 2024-05-23 2024-08-26 N
Provide properly protected cooking facilities. Fire Safety 2024-07-02 2024-07-03 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-05-23 2024-06-22 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-05-22 2024-06-18 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-05-22 2024-06-18 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-05-22 2024-06-18 N
Respond appropriately to all alleged violations. Health 2024-05-22 2024-06-18 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-05-22 2024-06-18 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-05-22 2024-06-18 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 2024-05-22 2024-06-18 N
Ensure medication error rates are not 5 percent or greater. Health 2024-05-22 2024-06-18 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 2024-05-22 2024-06-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-22 2024-06-18 N
Provide and implement an infection prevention and control program. Health 2024-05-22 2024-06-18 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-05-22 2024-06-18 N
Keep all essential equipment working safely. Health 2024-05-22 2024-06-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-22 2024-06-18 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-22 2024-06-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-22 2024-06-18 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-05-23 2024-06-18 N
Conduct testing and exercise requirements. Fire Safety 2024-05-23 2024-06-18 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-05-23 2024-06-18 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-05-23 2024-06-18 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-05-23 2024-06-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-15 2024-06-15 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-03-19 2024-03-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-22 2024-03-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-22 2024-03-08 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-02-22 2024-03-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-14 2023-12-01 Y
Provide properly protected cooking facilities. Fire Safety 2023-04-27 2023-06-29 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-27 2023-06-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-27 2023-06-29 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-04-27 2023-06-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-04-27 2023-06-29 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-04 2023-06-02 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-05-04 2023-06-02 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-05-04 2023-06-02 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-05-04 2023-06-02 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-05-04 2023-06-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-04 2023-06-02 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 2023-05-04 2023-06-02 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-05-04 2023-06-02 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-04 2023-06-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-04 2023-06-02 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-04 2023-06-02 N
Provide enough food/fluids to maintain a resident's health. Health 2023-05-04 2023-06-02 N
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 2023-05-04 2023-06-02 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 2023-05-04 2023-06-02 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 2023-05-04 2023-06-02 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-04 2023-06-02 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 2023-05-04 2023-06-02 N
Ensure medication error rates are not 5 percent or greater. Health 2023-05-04 2023-06-02 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 2023-05-04 2023-06-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-04 2023-06-02 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-05-04 2023-06-02 N
Provide and implement an infection prevention and control program. Health 2023-05-04 2023-06-02 N
Establish roles under a Waiver declared by secretary. Fire Safety 2023-04-27 2023-06-02 N
Develop a communication plan. Fire Safety 2023-04-27 2023-06-02 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-04-27 2023-06-02 N
Have exits that are accessible at all times. Fire Safety 2023-04-27 2023-06-02 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 2023-04-27 2023-06-02 N
Have an alternate power supply for its alarm system. Fire Safety 2023-04-27 2023-06-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-04-27 2023-06-02 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-04-27 2023-06-02 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-04-27 2023-06-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-27 2023-06-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-10 2022-07-26 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-03-07 2022-07-26 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-07 2022-07-26 Y
Provide activities to meet all resident's needs. Health 2022-02-23 2022-07-26 N
Ensure the activities program is directed by a qualified professional. Health 2022-02-23 2022-07-26 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 2022-02-23 2022-07-26 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 2022-02-23 2022-07-26 N
Provide enough food/fluids to maintain a resident's health. Health 2022-02-23 2022-07-26 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-02-23 2022-07-26 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 2022-02-23 2022-07-26 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-02-23 2022-07-26 N
Ensure staff are vaccinated for COVID-19 Health 2022-04-21 2022-05-09 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-10 2022-05-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-10 2022-05-09 Y
Respond appropriately to all alleged violations. Health 2022-03-10 2022-05-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-10 2022-05-09 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 2022-03-10 2022-05-09 Y
Ensure staff are vaccinated for COVID-19 Health 2022-03-10 2022-05-09 Y
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2022-03-07 2022-05-09 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 2022-03-07 2022-05-09 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-07 2022-05-09 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-03-07 2022-05-09 Y
Ensure each resident receives an accurate assessment. Health 2022-03-07 2022-05-09 Y
Honor each resident's preferences, choices, values and beliefs. Health 2022-03-07 2022-05-09 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-07 2022-05-09 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-07 2022-05-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-07 2022-05-09 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-03-07 2022-05-09 Y
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 2022-03-07 2022-05-09 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-03-07 2022-05-09 Y
Observe each nurse aide's job performance and give regular training. Health 2022-03-07 2022-05-09 Y
Post nurse staffing information every day. Health 2022-03-07 2022-05-09 Y
Provide and implement an infection prevention and control program. Health 2022-03-07 2022-05-09 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-03-07 2022-05-09 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-02-23 2022-05-09 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-02-23 2022-05-09 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-02-23 2022-05-09 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-02-23 2022-05-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-23 2022-05-09 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-02-23 2022-05-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-23 2022-05-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-23 2022-05-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-02-23 2022-05-09 N
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 2022-02-23 2022-05-09 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-02-23 2022-05-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-02-23 2022-05-09 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-02-23 2022-05-09 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2022-02-23 2022-05-09 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 2022-02-23 2022-05-09 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 2022-02-23 2022-05-09 N
Provide or obtain dental services for each resident. Health 2022-02-23 2022-05-09 N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2022-02-23 2022-05-09 N
Dispose of garbage and refuse properly. Health 2022-02-23 2022-05-09 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2022-02-23 2022-05-09 N
Implement a program that monitors antibiotic use. Health 2022-02-23 2022-05-09 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-02-23 2022-05-09 N
Keep all essential equipment working safely. Health 2022-02-23 2022-05-09 N
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Health 2022-02-23 2022-05-09 N
Provide appropriate foot care. Health 2022-02-23 2022-05-09 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-02-23 2022-05-09 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-02-09 2022-04-14 N
Install an approved automatic sprinkler system. Fire Safety 2022-02-09 2022-04-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-02-09 2022-04-14 N
Address subsistence needs for staff and patients. Fire Safety 2022-02-09 2022-04-01 N
Establish policies and procedures for sheltering. Fire Safety 2022-02-09 2022-04-01 N
Establish roles under a Waiver declared by secretary. Fire Safety 2022-02-09 2022-04-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-02-09 2022-04-01 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-02-09 2022-04-01 N
Provide properly protected cooking facilities. Fire Safety 2022-02-09 2022-04-01 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-02-09 2022-04-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-02-09 2022-04-01 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-02-09 2022-04-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-02-09 2022-04-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-02-09 2022-04-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-02-09 2022-04-01 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-02-09 2022-04-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-02-09 2022-04-01 N

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