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Deficiency Records for Marlow Nursing and Rehab
A list of the most recent deficiencies for Marlow Nursing and Rehab. 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 Marlow Nursing and Rehab. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-26 | 2024-08-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-26 | 2024-08-15 | 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 | 2024-06-28 | 2024-08-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-28 | 2024-08-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-28 | 2024-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-28 | 2024-08-10 | 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 | 2024-06-28 | 2024-08-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-28 | 2024-08-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-28 | 2024-08-10 | 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 | 2024-06-28 | 2024-08-10 | 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 | 2024-06-28 | 2024-08-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-28 | 2024-08-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-06-28 | 2024-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-28 | 2024-08-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-28 | 2024-08-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-02 | 2024-03-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-02 | 2024-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-20 | 2023-12-20 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-10 | 2023-09-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-10 | 2023-09-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-05-18 | 2023-06-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-18 | 2023-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-06-23 | 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 | 2023-05-18 | 2023-06-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-18 | 2023-06-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-17 | 2022-04-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-10 | 2021-12-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-11-10 | 2021-12-02 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-09 | 2021-12-02 | 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 | 2021-11-09 | 2021-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-09 | 2021-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-09 | 2021-12-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-09 | 2021-12-02 | N |
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