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Deficiency Records for Medilodge of Howell
A list of the most recent deficiencies for Medilodge of Howell. 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 Medilodge of Howell. 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? |
|---|---|---|---|---|
| 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 | 2024-09-18 | 2024-11-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-19 | 2024-10-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-19 | 2024-10-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-09-19 | 2024-10-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-19 | 2024-10-15 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-09-19 | 2024-10-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-19 | 2024-10-15 | N |
| 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 | 2024-09-19 | 2024-10-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-09-19 | 2024-10-15 | Y |
| Provide appropriate foot care. | Health | 2024-09-19 | 2024-10-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-19 | 2024-10-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-19 | 2024-10-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-19 | 2024-10-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-09-19 | 2024-10-15 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-18 | 2024-10-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-18 | 2024-10-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-18 | 2024-10-15 | 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 | 2024-09-18 | 2024-10-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-09-18 | 2024-10-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-18 | 2024-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-18 | 2024-10-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-09-19 | 2024-09-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-16 | 2024-07-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-23 | 2024-05-09 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-04-23 | 2024-05-09 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-31 | 2023-09-25 | Y |
| 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 | 2023-08-31 | 2023-09-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-31 | 2023-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-31 | 2023-09-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-31 | 2023-09-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-09-25 | 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 | 2023-08-31 | 2023-09-25 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-31 | 2023-09-25 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-08-31 | 2023-09-25 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-31 | 2023-09-25 | Y |
| 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 | 2023-08-31 | 2023-09-25 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-08-31 | 2023-09-25 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-08-31 | 2023-09-25 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-08-31 | 2023-09-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-31 | 2023-09-25 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-08-31 | 2023-09-25 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-31 | 2023-09-25 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-30 | 2023-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-30 | 2023-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-17 | 2023-06-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-17 | 2023-06-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-23 | 2023-03-23 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-17 | 2022-09-09 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-08-17 | 2022-09-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-17 | 2022-09-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-17 | 2022-09-09 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-08-17 | 2022-09-09 | Y |
| 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 | 2022-08-17 | 2022-09-09 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-08-17 | 2022-09-09 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-08-17 | 2022-09-09 | 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 | 2022-08-17 | 2022-09-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-17 | 2022-09-09 | Y |
| 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 | 2022-08-17 | 2022-09-09 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-08-17 | 2022-09-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-17 | 2022-09-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-09-09 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-08-17 | 2022-09-09 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-17 | 2022-09-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-17 | 2022-09-09 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-17 | 2022-09-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-18 | 2022-09-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-18 | 2022-09-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-18 | 2022-09-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-18 | 2022-09-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-17 | 2022-08-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-02 | 2022-03-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-02 | 2022-03-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-18 | 2022-02-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-18 | 2022-02-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-18 | 2022-02-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-18 | 2022-02-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-18 | 2022-02-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-23 | 2022-02-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2022-02-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-23 | 2021-12-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-23 | 2021-12-20 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-23 | 2021-12-20 | 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 | 2021-11-23 | 2021-12-20 | Y |
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