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Deficiency Records for Ayden Healthcare of Madeira
A list of the most recent deficiencies for Ayden Healthcare of Madeira. 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 Ayden Healthcare of Madeira. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-19 | 2024-09-27 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-07-16 | 2024-07-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-13 | 2024-05-14 | Y |
| 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 | 2023-12-28 | 2024-02-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-28 | 2024-02-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-24 | 2024-02-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-01-24 | 2024-02-14 | 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 | 2024-01-24 | 2024-02-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-24 | 2024-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-24 | 2024-02-14 | 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 | 2024-01-24 | 2024-02-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-24 | 2024-02-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-24 | 2024-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-24 | 2024-02-14 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-24 | 2024-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-24 | 2024-02-14 | 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 | 2024-01-24 | 2024-02-14 | N |
| Provide or obtain dental services for each resident. | Health | 2024-01-24 | 2024-02-14 | 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 | 2024-01-24 | 2024-02-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-24 | 2024-02-14 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-01-24 | 2024-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-24 | 2024-02-14 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-01-24 | 2024-02-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-24 | 2024-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-24 | 2024-02-14 | N |
| 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 | 2024-01-24 | 2024-02-14 | 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 | 2024-01-16 | 2024-02-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-16 | 2024-02-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-21 | 2023-12-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-21 | 2023-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-21 | 2023-12-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-02 | 2023-08-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-09 | 2023-03-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-09 | 2023-03-09 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-01-11 | 2020-02-04 | 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 | 2020-01-11 | 2020-02-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-11 | 2020-02-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-11 | 2020-02-04 | N |
| Respond appropriately to all alleged violations. | Health | 2020-01-11 | 2020-02-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-11 | 2020-02-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-11 | 2020-02-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-11 | 2020-02-04 | 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 | 2020-01-11 | 2020-02-04 | 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 | 2020-01-11 | 2020-02-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-11 | 2020-02-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-11 | 2020-02-04 | 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 | 2020-01-11 | 2020-02-04 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-01-11 | 2020-02-04 | 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 | 2020-01-11 | 2020-02-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-11 | 2020-02-04 | N |
| 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 | 2020-01-11 | 2020-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-11 | 2020-02-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-01-11 | 2020-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-11 | 2020-02-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-08 | 2020-02-04 | 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 | 2020-01-08 | 2020-02-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-01-08 | 2020-02-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-08 | 2020-02-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-08 | 2020-02-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-08 | 2020-02-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-08 | 2020-02-04 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2020-01-11 | 2020-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-28 | 2019-05-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-28 | 2019-05-03 | 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 | 2019-03-28 | 2019-05-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-03-28 | 2019-05-03 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-03-28 | 2019-05-03 | 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 | 2019-03-25 | 2019-05-03 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
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