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Deficiency Records for Maywood Terrace Living Center
A list of the most recent deficiencies for Maywood Terrace Living 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 Maywood Terrace Living 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-16 | 2024-08-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-07-16 | 2024-08-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-16 | 2024-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-16 | 2024-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-16 | 2024-08-29 | 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 | 2024-07-16 | 2024-08-29 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-07-16 | 2024-08-29 | 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 | 2024-07-16 | 2024-08-29 | N |
| Post nurse staffing information every day. | Health | 2024-07-16 | 2024-08-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-16 | 2024-08-29 | 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 | 2024-07-16 | 2024-08-29 | 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 | 2024-07-16 | 2024-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-16 | 2024-08-29 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-07-16 | 2024-08-29 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-16 | 2024-08-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-16 | 2024-08-29 | 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 | 2024-07-16 | 2024-08-29 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-07-16 | 2024-08-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-16 | 2024-08-29 | 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 | 2024-07-16 | 2024-08-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-16 | 2024-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-11 | 2024-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-11 | 2024-05-10 | 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 | 2024-04-11 | 2024-05-10 | Y |
| 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 | 2024-04-11 | 2024-05-10 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-02-21 | 2023-03-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-21 | 2023-03-20 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-02-21 | 2023-03-20 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-12-27 | 2023-02-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-12-27 | 2023-02-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-12-27 | 2023-02-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-12-27 | 2023-02-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-27 | 2023-02-10 | 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 | 2022-12-27 | 2023-02-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-27 | 2023-02-10 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-27 | 2023-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-27 | 2023-02-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-27 | 2023-02-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-27 | 2023-02-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-27 | 2023-02-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-27 | 2023-02-10 | 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 | 2022-12-27 | 2023-02-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-27 | 2023-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-27 | 2023-02-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-12-27 | 2023-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-27 | 2023-02-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-27 | 2023-02-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-27 | 2023-02-10 | 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 | 2022-12-27 | 2023-02-10 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-12-27 | 2023-02-10 | 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 | 2022-12-27 | 2023-02-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-12-27 | 2023-02-10 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2020-10-09 | 2020-11-20 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-10-09 | 2020-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-09 | 2020-11-20 | 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 | 2020-10-09 | 2020-11-20 | 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 | 2020-10-09 | 2020-11-20 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2020-10-09 | 2020-11-20 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-10-09 | 2020-11-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-10-09 | 2020-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-09 | 2020-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-09 | 2020-11-20 | N |
| Meet other general requirements. | Fire Safety | 2020-10-09 | 2020-11-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-09 | 2020-11-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-10-09 | 2020-11-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-10-09 | 2020-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-09 | 2020-11-20 | N |
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