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Deficiency Records for Monticello House
A list of the most recent deficiencies for Monticello House. 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 Monticello House. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-21 | 2024-04-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-04 | 2023-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-04 | 2023-11-01 | 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 | 2023-08-04 | 2023-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-29 | 2023-11-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-29 | 2023-09-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-29 | 2023-09-21 | Y |
| 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 | 2023-08-04 | 2023-09-18 | 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 | 2023-08-04 | 2023-09-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-04 | 2023-09-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-04 | 2023-09-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-04 | 2023-09-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-04 | 2023-09-18 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-04 | 2023-09-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-04 | 2023-09-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-04 | 2023-09-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-04 | 2023-09-18 | 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 | 2023-08-04 | 2023-09-18 | 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 | 2023-08-04 | 2023-09-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-04 | 2023-09-18 | N |
| Dispose of garbage and refuse properly. | Health | 2023-08-04 | 2023-09-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-04 | 2023-09-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-04 | 2023-09-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-04 | 2023-09-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-04 | 2023-09-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-04 | 2023-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-04 | 2023-09-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-04 | 2023-09-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-18 | 2023-06-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-18 | 2023-06-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-18 | 2023-06-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-25 | 2021-08-04 | 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 | 2021-06-25 | 2021-08-04 | 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 | 2021-06-25 | 2021-08-04 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-06-25 | 2021-08-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-25 | 2021-08-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-25 | 2021-08-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-06-25 | 2021-08-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-25 | 2021-08-04 | N |
| Provide activities to meet all resident's needs. | Health | 2021-06-25 | 2021-08-04 | 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 | 2021-06-25 | 2021-08-04 | 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 | 2021-06-25 | 2021-08-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-06-25 | 2021-08-04 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-06-25 | 2021-08-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-25 | 2021-08-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-25 | 2021-08-04 | 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 | 2021-06-25 | 2021-08-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-25 | 2021-08-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-25 | 2021-08-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-25 | 2021-08-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-25 | 2021-08-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-25 | 2021-08-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-25 | 2021-08-04 | N |
| Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. | Fire Safety | 2021-06-25 | 2021-08-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-16 | 2019-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-16 | 2019-09-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-16 | 2019-09-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-16 | 2019-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-16 | 2019-09-26 | 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 | 2019-08-16 | 2019-09-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-08-16 | 2019-09-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-16 | 2019-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-16 | 2019-09-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-16 | 2019-09-26 | 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 | 2019-08-16 | 2019-09-26 | 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 | 2019-08-16 | 2019-09-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-16 | 2019-09-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-16 | 2019-09-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-16 | 2019-09-26 | N |
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