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Deficiency Records for Marquis Hope Village
A list of the most recent deficiencies for Marquis Hope Village. 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 Marquis Hope Village. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-29 | 2024-02-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-29 | 2024-02-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-29 | 2024-02-17 | N |
| Provide appropriate foot care. | Health | 2023-12-29 | 2024-02-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-29 | 2024-02-17 | N |
| Post nurse staffing information every day. | Health | 2023-12-29 | 2024-02-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-29 | 2024-02-17 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-12-29 | 2024-02-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-01-02 | 2024-02-17 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-01-02 | 2024-02-17 | 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 | 2024-01-02 | 2024-02-17 | 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 | 2024-01-02 | 2024-02-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-02 | 2024-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-02 | 2024-02-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-02 | 2024-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-02 | 2024-02-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-02 | 2024-02-17 | N |
| Meet other general requirements. | Fire Safety | 2024-01-02 | 2024-02-17 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-05-31 | 2023-07-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-31 | 2023-07-20 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-11-15 | 2022-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-15 | 2022-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-15 | 2022-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-15 | 2022-12-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-30 | 2022-10-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-30 | 2022-10-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-29 | 2019-08-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-29 | 2019-08-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-29 | 2019-08-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-05 | 2019-07-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-05 | 2019-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-05 | 2019-07-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-05 | 2019-07-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-05 | 2019-07-25 | N |
| Post nurse staffing information every day. | Health | 2019-06-05 | 2019-07-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-05 | 2019-07-25 | 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 | 2019-06-05 | 2019-07-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-29 | 2019-07-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-29 | 2019-07-25 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-05-29 | 2019-07-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-05-29 | 2019-07-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-29 | 2019-07-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-29 | 2019-07-25 | N |
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