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Deficiency Records for Mcauley Hall Health Care Cente
A list of the most recent deficiencies for Mcauley Hall Health Care Cente. 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 Mcauley Hall Health Care Cente. 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? |
---|---|---|---|---|
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-13 | 2024-05-10 | Y |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-13 | 2024-04-22 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-13 | 2024-04-22 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-13 | 2024-04-22 | 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 | 2024-03-13 | 2024-04-22 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-03-13 | 2024-04-22 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-13 | 2024-04-22 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-13 | 2024-04-22 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-13 | 2024-04-22 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-13 | 2024-04-22 | N |
Post nurse staffing information every day. | Health | 2024-03-13 | 2024-04-22 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-13 | 2024-04-22 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-13 | 2024-04-22 | 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 | 2024-03-13 | 2024-04-22 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-03-13 | 2024-04-22 | N |
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-03-13 | 2024-04-22 | N |
Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-03-13 | 2024-04-22 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-13 | 2024-04-22 | Y |
Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-02-08 | 2022-04-05 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-02-08 | 2022-03-09 | 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 | 2022-02-08 | 2022-02-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-08 | 2022-02-25 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-08 | 2022-02-25 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-08 | 2022-02-22 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-08 | 2022-02-17 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-08 | 2022-02-14 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-02-08 | 2022-02-09 | N |
Provide and implement an infection prevention and control program. | Health | 2019-11-01 | 2019-11-18 | N |
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