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Deficiency Records for Marywood Nursing Care Center
A list of the most recent deficiencies for Marywood Nursing 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 Marywood Nursing 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-08-28 | 2024-09-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-28 | 2024-09-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-28 | 2024-09-19 | 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 | 2024-08-28 | 2024-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-28 | 2024-09-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-28 | 2024-09-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-29 | 2024-09-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-29 | 2024-09-18 | 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 | 2024-08-29 | 2024-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-29 | 2024-09-18 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-03-07 | 2024-03-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-18 | 2023-10-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-09-18 | 2023-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-18 | 2023-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-18 | 2023-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-18 | 2023-10-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-18 | 2023-10-10 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-09-18 | 2023-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-18 | 2023-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-18 | 2023-10-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-20 | 2023-10-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-20 | 2023-10-09 | 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 | 2023-09-20 | 2023-10-09 | 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 | 2023-09-20 | 2023-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-20 | 2023-10-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-20 | 2023-10-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-20 | 2023-10-09 | 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 | 2023-09-20 | 2023-10-09 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-21 | 2022-08-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-21 | 2022-08-12 | 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 | 2022-07-21 | 2022-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-21 | 2022-08-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-21 | 2022-08-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-21 | 2022-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-21 | 2022-08-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-21 | 2022-08-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-21 | 2022-08-12 | 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 | 2022-07-21 | 2022-08-12 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-20 | 2022-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-20 | 2022-08-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-20 | 2022-08-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-20 | 2022-08-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-20 | 2022-08-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-20 | 2022-08-12 | N |
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