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Deficiency Records for Mennonite Home
A list of the most recent deficiencies for Mennonite Home. 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 Mennonite Home. 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 | 2024-11-21 | 2025-01-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-11-21 | 2025-01-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-11-21 | 2025-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-21 | 2025-01-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-11-21 | 2025-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-21 | 2025-01-10 | 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 | 2024-12-02 | 2025-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-02 | 2025-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-24 | 2024-09-12 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-09-08 | 2023-10-28 | 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 | 2023-09-08 | 2023-10-28 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-09-08 | 2023-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-08 | 2023-10-28 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-08 | 2023-10-28 | 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 | 2023-09-08 | 2023-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-10-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-09-06 | 2023-10-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-06 | 2023-10-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-09-06 | 2023-10-28 | 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 | 2023-09-06 | 2023-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-06 | 2023-10-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-06 | 2023-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-06 | 2023-10-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-16 | 2022-09-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-16 | 2022-09-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-16 | 2022-09-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-16 | 2022-09-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-01-31 | 2019-03-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-01-31 | 2019-03-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-31 | 2019-03-22 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2019-01-31 | 2019-03-22 | 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 | 2019-01-31 | 2019-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-31 | 2019-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-31 | 2019-03-22 | N |
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