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Deficiency Records for Milaca Elim Meadows Health Care Center
A list of the most recent deficiencies for Milaca Elim Meadows Health 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 Milaca Elim Meadows Health 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-27 | 2024-06-30 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-11-27 | 2024-02-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-27 | 2024-02-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-27 | 2024-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-27 | 2024-01-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-27 | 2024-01-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-27 | 2024-01-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-27 | 2024-01-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-11-29 | 2023-12-29 | 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 | 2023-11-29 | 2023-12-29 | 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 | 2023-11-29 | 2023-12-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-29 | 2023-12-29 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2023-11-27 | 2023-12-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-11-27 | 2023-12-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-27 | 2023-12-14 | 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 | 2023-11-27 | 2023-12-12 | 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 | 2023-11-27 | 2023-12-04 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-11-27 | 2023-11-27 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-22 | 2023-08-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-22 | 2023-08-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-22 | 2023-02-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-21 | 2023-01-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-16 | 2021-11-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-16 | 2021-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-16 | 2021-11-20 | N |
| Provide or obtain dental services for each resident. | Health | 2021-09-16 | 2021-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-13 | 2021-11-20 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-09-13 | 2021-11-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-13 | 2021-11-20 | N |
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