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Deficiency Records for Maranatha Care Center
A list of the most recent deficiencies for Maranatha 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 Maranatha 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-07-12 | 2024-08-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-29 | 2024-04-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-15 | 2024-03-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-15 | 2024-03-29 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-02-15 | 2024-03-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-15 | 2024-03-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-15 | 2024-03-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-15 | 2024-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-15 | 2024-03-29 | 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 | 2024-02-15 | 2024-03-29 | N |
| Post nurse staffing information every day. | Health | 2024-02-15 | 2024-03-29 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-13 | 2024-03-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-13 | 2024-03-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-13 | 2024-03-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-13 | 2024-03-29 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-02-13 | 2024-03-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-13 | 2024-03-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-08 | 2023-02-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-08 | 2023-02-20 | 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 | 2022-12-08 | 2023-02-20 | 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 | 2022-12-08 | 2023-02-20 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-12-08 | 2023-02-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-08 | 2023-02-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-08 | 2023-02-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-02-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-06 | 2023-02-20 | 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 | 2022-12-06 | 2023-02-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-06 | 2023-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-08 | 2023-01-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-12 | 2021-09-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-08-12 | 2021-09-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-12 | 2021-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-10 | 2021-09-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-10 | 2021-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-10 | 2021-09-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-10 | 2021-09-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-10 | 2021-09-28 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-08-10 | 2021-09-28 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2021-08-10 | 2021-09-28 | N |
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