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Deficiency Records for Ivy at Deer Lodge
A list of the most recent deficiencies for Ivy at Deer Lodge. 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 Ivy at Deer Lodge. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-25 | 2024-12-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-25 | 2024-12-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-11-25 | 2024-12-19 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-10-15 | 2024-11-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-15 | 2024-11-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-10-15 | 2024-11-13 | 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 | 2024-10-15 | 2024-11-13 | 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 | 2024-10-15 | 2024-11-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-10-15 | 2024-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-15 | 2024-11-13 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-10-10 | 2024-11-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-10 | 2024-11-06 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-10 | 2024-11-06 | 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 | 2024-10-10 | 2024-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-10 | 2024-11-06 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2024-09-19 | 2024-10-16 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2024-09-19 | 2024-10-16 | Y |
| 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 | 2024-09-19 | 2024-10-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-19 | 2024-10-16 | Y |
| 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 | 2024-09-19 | 2024-10-16 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-17 | 2024-08-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-17 | 2024-08-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-17 | 2024-08-02 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-07-17 | 2024-08-02 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-11-13 | 2023-12-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-11-13 | 2023-12-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-13 | 2023-12-27 | 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 | 2023-11-13 | 2023-12-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-11-13 | 2023-12-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-13 | 2023-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-13 | 2023-12-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-13 | 2023-12-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-11-13 | 2023-12-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-11-13 | 2023-12-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-13 | 2023-12-27 | 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 | 2023-11-08 | 2023-12-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-08 | 2023-12-10 | 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 | 2023-11-08 | 2023-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-08 | 2023-12-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-11-08 | 2023-12-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-08 | 2023-12-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-08 | 2023-12-10 | 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 | 2023-11-08 | 2023-12-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-11-08 | 2023-12-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-08 | 2023-12-10 | 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 | 2023-08-02 | 2023-09-07 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-02 | 2023-09-07 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-08-02 | 2023-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-02 | 2023-09-06 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-08-02 | 2023-09-06 | Y |
| 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 | 2022-09-19 | 2022-11-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-19 | 2022-11-01 | 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 | 2022-09-19 | 2022-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-19 | 2022-11-01 | 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 | 2022-09-15 | 2022-10-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-09-15 | 2022-10-14 | 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 | 2022-09-15 | 2022-10-14 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-09-15 | 2022-10-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-15 | 2022-10-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-09-15 | 2022-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-14 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-09-15 | 2022-10-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-10-13 | N |
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