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Deficiency Records for The Merriman
A list of the most recent deficiencies for The Merriman. 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 The Merriman. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-27 | 2024-06-29 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2024-03-14 | 2024-04-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-14 | 2024-04-30 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-03-14 | 2024-04-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-30 | 2024-04-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-30 | 2024-04-30 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-01-30 | 2024-04-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-30 | 2024-04-18 | 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 | 2024-01-30 | 2024-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-19 | 2023-11-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-22 | 2023-11-13 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-13 | 2023-11-13 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-10-07 | 2023-11-02 | Y |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2023-09-19 | 2023-11-02 | 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 | 2023-08-22 | 2023-11-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-22 | 2023-11-02 | 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 | 2023-07-11 | 2023-07-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-27 | 2023-07-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-15 | 2023-04-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-15 | 2023-04-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-15 | 2023-04-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-15 | 2023-04-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-15 | 2023-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-15 | 2023-04-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-15 | 2023-04-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-15 | 2023-04-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-24 | 2023-04-25 | 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 | 2023-04-24 | 2023-04-25 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-24 | 2023-04-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-24 | 2023-04-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-24 | 2023-04-25 | 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 | 2023-04-24 | 2023-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-24 | 2023-04-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-17 | 2023-04-25 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2023-03-17 | 2023-04-25 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-07 | 2023-04-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-02-07 | 2023-04-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-07 | 2023-04-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-07 | 2023-04-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-07 | 2023-04-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-07 | 2023-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-07 | 2023-04-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-07 | 2023-04-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-07 | 2023-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-07 | 2023-04-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-07 | 2023-04-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-03 | 2023-01-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-03 | 2023-01-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-03 | 2023-01-18 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-03 | 2023-01-18 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-01-03 | 2023-01-18 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-01-03 | 2023-01-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-03 | 2023-01-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-14 | 2022-09-28 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-18 | 2022-03-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-01-24 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-11-18 | 2021-12-06 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-19 | 2020-07-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-20 | 2020-03-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-20 | 2020-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-03-25 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2020-02-19 | 2020-03-25 | 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 | 2020-02-19 | 2020-03-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-01-10 | 2019-02-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-10 | 2019-02-18 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-01-10 | 2019-02-18 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-01-07 | 2019-02-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-01-07 | 2019-02-18 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-01-07 | 2019-02-18 | 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 | 2019-01-07 | 2019-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-07 | 2019-02-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-07 | 2019-02-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-07 | 2019-02-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-01-07 | 2019-02-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-01-07 | 2019-02-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-07 | 2019-02-18 | N |
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