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Deficiency Records for Montgomery Subacute and Respiratory Center
A list of the most recent deficiencies for Montgomery Subacute and Respiratory 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 Montgomery Subacute and Respiratory 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-07-30 | 2024-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-30 | 2024-09-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-30 | 2024-09-13 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-07-30 | 2024-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-30 | 2024-09-13 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-07-19 | 2024-08-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-19 | 2024-08-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-19 | 2024-08-20 | 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 | 2024-07-19 | 2024-08-20 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-07-19 | 2024-08-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-07-19 | 2024-08-20 | N |
| Respond appropriately to all alleged violations. | Health | 2024-07-19 | 2024-08-20 | 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 | 2024-07-19 | 2024-08-20 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-07-19 | 2024-08-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-19 | 2024-08-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-19 | 2024-08-20 | 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 | 2024-07-19 | 2024-08-20 | 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 | 2024-07-19 | 2024-08-20 | 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 | 2024-07-19 | 2024-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-19 | 2024-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-19 | 2024-08-20 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-10-18 | 2023-11-30 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-18 | 2023-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-18 | 2023-11-30 | 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 | 2023-10-05 | 2023-11-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-05 | 2023-11-03 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-12-21 | 2023-01-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-21 | 2023-01-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-21 | 2023-01-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-21 | 2023-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-21 | 2023-01-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-12-15 | 2023-01-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-15 | 2023-01-06 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-12-15 | 2023-01-06 | 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 | 2022-12-15 | 2023-01-06 | N |
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