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Deficiency Records for Majestic Gardens at Memphis Rehab and Snc
A list of the most recent deficiencies for Majestic Gardens at Memphis Rehab and Snc. 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 Majestic Gardens at Memphis Rehab and Snc. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-09-17 | Y |
| Keep all essential equipment working safely. | Health | 2024-05-08 | 2024-07-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-08 | 2024-07-31 | Y |
| 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 | 2024-05-08 | 2024-07-31 | Y |
| 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 | 2024-05-08 | 2024-07-31 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-08 | 2024-07-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-08 | 2024-07-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-08 | 2024-07-31 | Y |
| 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 | 2024-05-08 | 2024-07-31 | Y |
| 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 | 2024-05-08 | 2024-07-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-08 | 2024-07-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-08 | 2024-07-31 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-08 | 2024-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-08 | 2024-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-08 | 2024-06-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-08 | 2024-06-15 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-08 | 2024-06-01 | 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 | 2024-05-08 | 2024-06-01 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-08 | 2024-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-08 | 2024-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-08 | 2024-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-08 | 2024-05-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-08 | 2024-05-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-08 | 2024-05-10 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-24 | 2024-01-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-24 | 2024-01-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-24 | 2024-01-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-24 | 2024-01-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2024-01-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-24 | 2024-01-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-24 | 2023-09-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-24 | 2023-09-18 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-24 | 2023-09-18 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-09 | 2023-08-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-15 | 2023-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2023-04-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-15 | 2023-04-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-03-15 | 2023-04-26 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-15 | 2023-04-26 | Y |
| 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 | 2022-07-12 | 2022-07-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-12 | 2022-07-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-12 | 2022-07-22 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-07-12 | 2022-07-22 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-07-12 | 2022-07-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-12 | 2022-07-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-27 | 2022-07-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-14 | 2022-04-18 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-14 | 2022-04-18 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-14 | 2022-04-18 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-16 | 2019-08-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-18 | 2019-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-18 | 2019-08-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-16 | 2019-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-16 | 2019-08-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-16 | 2019-08-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-16 | 2019-08-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-18 | 2019-07-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-18 | 2019-07-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-18 | 2019-07-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-18 | 2019-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-18 | 2019-07-19 | 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 | 2019-07-18 | 2019-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-18 | 2019-07-19 | 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 | 2018-09-25 | 2018-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-25 | 2018-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-25 | 2018-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-25 | 2018-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-25 | 2018-10-10 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-10 | 2018-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-10 | 2018-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-10 | 2018-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-10 | 2018-10-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-09-10 | 2018-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-10 | 2018-10-10 | N |
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