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Deficiency Records for Life Care Center of Mount Vernon
A list of the most recent deficiencies for Life Care Center of Mount Vernon. 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 Life Care Center of Mount Vernon. 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 | 2024-08-06 | 2024-08-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-06 | 2024-08-23 | 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 | 2024-05-01 | 2024-07-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-01 | 2024-07-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-01 | 2024-07-05 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-05-01 | 2024-07-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-01 | 2024-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-01 | 2024-07-05 | 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 | 2024-05-01 | 2024-07-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-01 | 2024-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-01 | 2024-07-05 | 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 | 2024-05-01 | 2024-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-01 | 2024-07-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-01 | 2024-07-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-01 | 2024-07-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-01 | 2024-07-05 | 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 | 2024-05-01 | 2024-07-05 | 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 | 2024-05-01 | 2024-07-05 | N |
| Provide or obtain dental services for each resident. | Health | 2024-05-01 | 2024-07-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-01 | 2024-07-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-01 | 2024-07-05 | 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 | 2024-05-01 | 2024-07-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-01 | 2024-07-05 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-23 | 2024-05-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-20 | 2024-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-04 | 2024-01-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-17 | 2023-11-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-17 | 2023-11-30 | 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 | 2023-10-17 | 2023-11-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-17 | 2023-11-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-17 | 2023-11-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-17 | 2023-11-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-17 | 2023-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-30 | 2023-07-27 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-16 | 2023-07-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-05-16 | 2023-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-07-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-16 | 2023-07-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-19 | 2023-06-26 | 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 | 2023-05-19 | 2023-06-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-19 | 2023-06-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-06-26 | 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 | 2023-05-19 | 2023-06-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-19 | 2023-06-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-19 | 2023-06-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-19 | 2023-06-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-19 | 2023-06-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-19 | 2023-06-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-19 | 2023-06-26 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-05-19 | 2023-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-06-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-19 | 2023-06-26 | 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 | 2023-05-19 | 2023-06-26 | 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 | 2023-05-19 | 2023-06-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-16 | 2023-06-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-16 | 2023-06-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-05-16 | 2023-06-19 | N |
| Develop a communication plan. | Fire Safety | 2023-05-16 | 2023-06-19 | N |
| Establish methods for sharing information. | Fire Safety | 2023-05-16 | 2023-06-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-16 | 2023-06-19 | 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 | 2023-05-16 | 2023-06-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-16 | 2023-06-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-16 | 2023-06-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-16 | 2023-06-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-05-16 | 2023-06-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-16 | 2023-06-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-16 | 2023-06-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-05-16 | 2023-06-19 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-05-11 | 2023-06-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-11 | 2023-06-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-11 | 2023-06-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-11 | 2023-06-12 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-16 | 2023-06-01 | N |
| Meet other general requirements. | Fire Safety | 2023-05-16 | 2023-05-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-16 | 2023-05-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-28 | 2023-03-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-28 | 2023-03-15 | 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 | 2023-02-28 | 2023-03-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-28 | 2023-03-15 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-12-20 | 2023-01-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-15 | 2022-10-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-15 | 2022-10-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-09 | 2022-09-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-09 | 2022-09-09 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-01-27 | 2022-02-25 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2019-10-21 | 2019-12-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-21 | 2019-12-09 | 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 | 2019-10-21 | 2019-12-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-21 | 2019-12-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-21 | 2019-12-09 | 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 | 2019-10-21 | 2019-12-09 | 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 | 2019-10-21 | 2019-12-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-21 | 2019-12-09 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-21 | 2019-12-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-21 | 2019-12-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-10-21 | 2019-12-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-10-21 | 2019-12-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-21 | 2019-12-09 | 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 | 2019-10-21 | 2019-12-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-21 | 2019-12-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-21 | 2019-12-09 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-21 | 2019-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-21 | 2019-12-09 | 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 | 2019-10-21 | 2019-12-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-21 | 2019-12-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-10-21 | 2019-12-09 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-10-21 | 2019-12-09 | N |
| Post nurse staffing information every day. | Health | 2019-10-21 | 2019-12-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-21 | 2019-12-09 | 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 | 2019-10-21 | 2019-12-09 | N |
| Provide or obtain dental services for each resident. | Health | 2019-10-21 | 2019-12-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-21 | 2019-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-21 | 2019-12-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-21 | 2019-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-21 | 2019-12-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-21 | 2019-12-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-21 | 2019-12-09 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-10-21 | 2019-12-09 | 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 | 2019-10-21 | 2019-12-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Develop a communication plan. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-16 | 2019-11-21 | N |
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