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Deficiency Records for Daughters of Miriam Center For Nursing and Rehabilit
A list of the most recent deficiencies for Daughters of Miriam Center For Nursing and Rehabilit. 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 Daughters of Miriam Center For Nursing and Rehabilit. 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 | 2024-11-20 | 2024-12-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-20 | 2024-12-04 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-11-08 | 2024-12-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-11-08 | 2024-12-04 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-11-08 | 2024-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-08 | 2024-12-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-08 | 2024-12-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-08 | 2024-12-04 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-11-08 | 2024-12-04 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-11-08 | 2024-12-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-08 | 2024-12-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-08 | 2024-12-04 | Y |
| 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 | 2024-11-08 | 2024-12-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-08 | 2024-12-04 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-11-08 | 2024-12-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-08 | 2024-12-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-08 | 2024-12-04 | 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 | 2024-11-08 | 2024-12-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-08 | 2024-12-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-08 | 2024-12-04 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-29 | 2024-12-04 | N |
| Post nurse staffing information every day. | Health | 2024-09-11 | 2024-09-23 | Y |
| 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 | 2024-09-11 | 2024-09-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-11 | 2024-09-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-09 | 2024-02-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-09 | 2024-02-02 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-10-24 | 2023-11-16 | 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 | 2023-10-24 | 2023-11-16 | 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 | 2023-10-24 | 2023-11-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-24 | 2023-11-16 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-10-24 | 2023-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-24 | 2023-11-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-24 | 2023-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-24 | 2023-11-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-24 | 2023-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-24 | 2023-11-16 | Y |
| 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 | 2023-10-24 | 2023-11-16 | 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 | 2023-10-24 | 2023-11-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-24 | 2023-11-16 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-17 | 2023-11-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-17 | 2023-11-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-17 | 2023-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-17 | 2023-11-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-17 | 2023-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-27 | 2022-10-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-27 | 2022-10-14 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-08-30 | 2022-10-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-30 | 2022-10-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-05 | 2020-04-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-05 | 2020-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-05 | 2020-04-14 | 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 | 2020-03-05 | 2020-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-05 | 2020-04-14 | 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 | 2020-03-05 | 2020-04-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-03-05 | 2020-04-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-03-05 | 2020-04-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-05 | 2020-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-05 | 2020-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-05 | 2020-04-14 | N |
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