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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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