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Deficiency Records for Accordius Health at Midwood, LLC
A list of the most recent deficiencies for Accordius Health at Midwood, LLC. 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 Accordius Health at Midwood, LLC. 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2024-06-06 | 2024-06-21 | 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 | 2024-06-06 | 2024-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-06 | 2024-06-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-06 | 2024-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-06 | 2024-06-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-06 | 2024-06-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-07 | 2024-05-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-07 | 2024-05-24 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-05-07 | 2024-05-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-07 | 2024-05-24 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-07 | 2024-05-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-07 | 2024-05-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-07 | 2024-05-24 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-05-07 | 2024-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-07 | 2024-05-24 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-07 | 2024-05-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-07 | 2024-05-24 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-05-07 | 2024-05-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-07 | 2024-05-24 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-07 | 2024-05-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-07 | 2024-05-24 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-02-09 | 2023-05-01 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-09 | 2023-05-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-02-09 | 2023-05-01 | 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 | 2023-02-09 | 2023-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-09 | 2023-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-23 | 2023-02-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-23 | 2023-02-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-30 | 2023-02-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-30 | 2023-02-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-30 | 2023-02-10 | 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 | 2022-12-30 | 2023-02-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-30 | 2023-02-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-30 | 2023-02-10 | Y |
| Provide appropriate foot care. | Health | 2022-12-30 | 2023-02-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-30 | 2023-02-10 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-30 | 2023-02-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-08 | 2022-04-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2022-04-21 | 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 | 2022-04-08 | 2022-04-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-16 | 2022-04-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-16 | 2022-04-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-12-16 | 2022-04-08 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-12-16 | 2022-04-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-16 | 2022-04-08 | 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 | 2021-12-16 | 2022-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-16 | 2022-04-08 | 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 | 2021-12-16 | 2022-04-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2022-04-08 | 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 | 2021-12-16 | 2022-04-08 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-12-16 | 2022-04-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-16 | 2022-04-08 | 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 | 2021-12-16 | 2022-04-08 | 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 | 2021-12-16 | 2022-04-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-12-16 | 2022-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-16 | 2022-04-08 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-12-16 | 2022-04-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-16 | 2022-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2022-04-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-16 | 2022-04-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-16 | 2022-04-08 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-11 | 2022-01-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-11 | 2022-01-25 | N |
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