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Deficiency Records for Merit House LLC
A list of the most recent deficiencies for Merit House 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 Merit House 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-23 | 2024-10-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-23 | 2024-10-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-23 | 2024-10-23 | 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 | 2024-09-23 | 2024-10-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-23 | 2024-10-23 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-23 | 2024-10-23 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-09-23 | 2024-10-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-23 | 2024-10-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-09-23 | 2024-10-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-23 | 2024-10-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-09-23 | 2024-10-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-23 | 2024-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-23 | 2024-10-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-09-23 | 2024-10-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-23 | 2024-10-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-09-23 | 2024-10-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-16 | 2024-10-23 | 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 | 2024-09-16 | 2024-10-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-09-16 | 2024-10-23 | 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 | 2024-09-16 | 2024-10-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-16 | 2024-10-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-28 | 2022-06-15 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-04-28 | 2022-06-15 | 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 | 2022-04-28 | 2022-06-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-04-28 | 2022-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-28 | 2022-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-28 | 2022-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-28 | 2022-06-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-30 | 2019-08-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-30 | 2019-08-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-30 | 2019-08-12 | 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 | 2019-05-30 | 2019-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-30 | 2019-08-12 | 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 | 2019-05-28 | 2019-08-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-05-28 | 2019-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-28 | 2019-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-28 | 2019-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-28 | 2019-08-12 | N |
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