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Deficiency Records for Medilodge of Montrose Inc

A list of the most recent deficiencies for Medilodge of Montrose Inc. 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 Montrose Inc. 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 treatment and care according to orders, resident?s preferences and goals. Health 2024-07-29 2024-08-01 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-29 2024-08-01 Y
Provide and implement an infection prevention and control program. Health 2024-07-29 2024-08-01 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-03 2024-07-12 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-07-03 2024-07-12 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-03 2024-07-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-03 2024-07-12 Y
Provide and implement an infection prevention and control program. Health 2024-07-03 2024-07-12 Y
Ensure that residents are free from significant medication errors. Health 2023-11-09 2023-12-20 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-11-09 2023-12-08 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 2023-11-09 2023-12-08 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-11-09 2023-12-08 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 2023-11-09 2023-12-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-09 2023-12-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-09 2023-12-08 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-09 2023-12-08 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 2023-11-09 2023-12-08 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 2023-11-09 2023-12-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-09 2023-12-08 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-09 2023-12-08 N
Ensure medication error rates are not 5 percent or greater. Health 2023-11-09 2023-12-08 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 2023-11-09 2023-12-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-09 2023-12-08 N
Provide and implement an infection prevention and control program. Health 2023-11-09 2023-12-08 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 2023-11-07 2023-12-08 N
Provide properly protected cooking facilities. Fire Safety 2023-11-07 2023-12-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-07 2023-12-08 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-11-07 2023-12-08 N
Have proper medical gas storage and administration areas. Fire Safety 2023-11-07 2023-12-08 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-08-11 2022-08-29 N
Assess the resident when there is a significant change in condition Health 2022-08-11 2022-08-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-11 2022-08-29 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 2022-08-11 2022-08-29 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-11 2022-08-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-11 2022-08-29 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 2022-08-11 2022-08-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-11 2022-08-29 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-08-11 2022-08-29 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-08-11 2022-08-29 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-08-11 2022-08-29 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-08-11 2022-08-29 N
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 2022-08-11 2022-08-29 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2022-08-11 2022-08-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-11 2022-08-29 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-08-11 2022-08-29 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 2022-08-16 2022-08-29 N
Provide properly protected cooking facilities. Fire Safety 2022-08-16 2022-08-29 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-08-16 2022-08-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-16 2022-08-29 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-08-16 2022-08-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-28 2022-05-24 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-04-28 2022-05-24 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-04-28 2022-05-24 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-11-10 2021-12-07 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-17 2021-11-01 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 2021-08-17 2021-10-13 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-08-17 2021-10-13 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-08-17 2021-10-13 N
Keep residents' personal and medical records private and confidential. Health 2021-08-19 2021-09-28 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2021-08-19 2021-09-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-19 2021-09-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-08-19 2021-09-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-08-19 2021-09-28 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 2021-08-19 2021-09-28 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2021-08-19 2021-09-28 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2021-08-19 2021-09-28 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2021-08-19 2021-09-28 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 2021-08-19 2021-09-28 N
Ensure medication error rates are not 5 percent or greater. Health 2021-08-19 2021-09-28 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 2021-08-19 2021-09-28 N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2021-08-19 2021-09-28 N
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 2021-08-19 2021-09-28 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2021-08-19 2021-09-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-19 2021-09-28 N
Provide and implement an infection prevention and control program. Health 2021-08-19 2021-09-28 N
List the names and contact information of those in the facility. Fire Safety 2021-08-17 2021-09-18 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-08-17 2021-09-18 N
Provide properly protected cooking facilities. Fire Safety 2021-08-17 2021-09-18 N
Install an approved automatic sprinkler system. Fire Safety 2021-08-17 2021-09-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-08-17 2021-09-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-08-17 2021-09-18 N
Have proper medical gas storage and administration areas. Fire Safety 2021-08-17 2021-09-18 N

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