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Deficiency Records for Mayfair Village Nursing Care C
A list of the most recent deficiencies for Mayfair Village Nursing Care C. 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 Mayfair Village Nursing Care C. 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 | 2024-09-04 | 2024-10-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-04 | 2024-10-01 | Y |
| 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 | 2024-09-04 | 2024-10-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-12 | 2024-10-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-12 | 2024-10-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-12 | 2024-10-01 | 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 | 2024-08-12 | 2024-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-12 | 2024-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-12 | 2024-10-01 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-08-12 | 2024-10-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-12 | 2024-10-01 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2024-08-08 | 2024-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-08 | 2024-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-08 | 2024-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-08 | 2024-10-01 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-01-31 | 2024-02-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-31 | 2024-02-16 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-01 | 2023-12-12 | 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 | 2023-10-25 | 2023-11-22 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-10-25 | 2023-11-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-18 | 2023-08-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-18 | 2023-08-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-18 | 2023-08-03 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-07-18 | 2023-08-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-18 | 2023-08-03 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-18 | 2023-08-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-18 | 2023-08-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-04 | 2023-05-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-04 | 2023-05-19 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-04 | 2023-05-19 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-03-23 | 2023-04-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-23 | 2023-04-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-23 | 2023-04-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-14 | 2023-02-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-09 | 2022-12-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-09 | 2022-12-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-15 | 2022-12-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-07 | 2022-07-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-07 | 2022-07-26 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-02-14 | 2022-03-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-02-14 | 2022-03-09 | 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 | 2022-02-14 | 2022-03-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-14 | 2022-03-09 | N |
| Respond appropriately to all alleged violations. | Health | 2022-02-14 | 2022-03-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-14 | 2022-03-09 | 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 | 2022-02-14 | 2022-03-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-14 | 2022-03-09 | 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 | 2022-02-14 | 2022-03-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-14 | 2022-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-14 | 2022-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-14 | 2022-03-09 | N |
| 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 | 2022-02-14 | 2022-03-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-14 | 2022-03-09 | 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 | 2022-02-14 | 2022-03-09 | 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 | 2022-02-14 | 2022-03-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-02-14 | 2022-03-09 | N |
| Provide or obtain dental services for each resident. | Health | 2022-02-14 | 2022-03-09 | 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 | 2022-02-14 | 2022-03-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-09 | 2022-03-09 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-02-09 | 2022-03-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-19 | 2022-02-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-02 | 2019-05-24 | 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 | 2019-05-02 | 2019-05-24 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2019-05-02 | 2019-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-02 | 2019-05-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-05-01 | 2019-05-24 | N |
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