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Deficiency Records for Markley Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Markley Rehabilitation and Healthcare Center. 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 Markley Rehabilitation and Healthcare Center. 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? |
|---|---|---|---|---|
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-01-09 | 2024-02-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-09 | 2024-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-09 | 2024-02-14 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-01-09 | 2024-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-09 | 2024-02-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-09 | 2024-02-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-09 | 2024-02-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-01-09 | 2024-02-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-09 | 2024-02-14 | 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 | 2024-01-02 | 2024-01-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-02 | 2024-01-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-02 | 2024-01-31 | N |
| 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 | 2024-01-02 | 2024-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-08 | 2023-10-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-08 | 2023-10-05 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-08 | 2023-10-05 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-01 | 2023-08-21 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-08-01 | 2023-08-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-01 | 2023-08-21 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-01 | 2023-08-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-08 | 2023-05-30 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-21 | 2023-05-04 | N |
| Meet other general requirements. | Fire Safety | 2023-02-21 | 2023-03-28 | 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 | 2023-02-21 | 2023-03-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-07 | 2023-03-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-07 | 2023-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-07 | 2023-03-21 | 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 | 2023-02-07 | 2023-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-07 | 2023-03-21 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-02-07 | 2023-03-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-17 | 2023-01-17 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-17 | 2023-01-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-17 | 2023-01-11 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-11-17 | 2022-12-06 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-08-05 | 2022-09-07 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-05 | 2022-09-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-05 | 2022-09-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-05 | 2022-09-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-05 | 2022-09-07 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-08-05 | 2022-09-07 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-08-05 | 2022-09-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-05 | 2022-09-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-25 | 2022-05-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-05-25 | 2022-05-28 | Y |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-08 | 2022-05-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-08 | 2022-05-12 | 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 | 2022-04-08 | 2022-05-12 | 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 | 2022-04-08 | 2022-05-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-08 | 2022-05-12 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-08 | 2022-05-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-08 | 2022-05-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-08 | 2022-05-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-04-08 | 2022-05-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-04-08 | 2022-05-12 | N |
| Post nurse staffing information every day. | Health | 2022-04-08 | 2022-05-12 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-04-08 | 2022-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-08 | 2022-05-12 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-04-08 | 2022-05-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-28 | 2022-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-06 | 2021-12-27 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-12-06 | 2021-12-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-06 | 2021-12-27 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-12-06 | 2021-12-27 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-10-12 | 2021-10-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-12 | 2021-10-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-12 | 2021-10-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-19 | Not Fixed | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-19 | Not Fixed | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-19 | Not Fixed | Y |
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