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Deficiency Records for Marysville Care Center

A list of the most recent deficiencies for Marysville Care 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 Marysville Care 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?
Prepare residents for a safe transfer or discharge from the nursing home. Health 2024-04-30 2024-05-15 Y
Provide enough food/fluids to maintain a resident's health. Health 2024-04-30 2024-05-15 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-30 2024-05-15 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-27 2024-03-07 Y
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 2024-02-06 2024-02-21 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-02-06 2024-02-21 Y
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-09-13 2023-10-18 N
Address subsistence needs for staff and patients. Fire Safety 2023-09-13 2023-10-18 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2023-09-13 2023-10-18 N
Create arrangements with other facilities to receive patients. Fire Safety 2023-09-13 2023-10-18 N
Provide emergency officials' contact information. Fire Safety 2023-09-13 2023-10-18 N
Provide primary/alternate means for communication. Fire Safety 2023-09-13 2023-10-18 N
Establish staff and initial training requirements. Fire Safety 2023-09-13 2023-10-18 N
Conduct testing and exercise requirements. Fire Safety 2023-09-13 2023-10-18 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-09-13 2023-10-18 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-09-13 2023-10-18 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-09-13 2023-10-18 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-09-13 2023-10-18 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-09-13 2023-10-10 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-09-13 2023-10-10 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-09-13 2023-10-10 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-09-13 2023-10-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-09-13 2023-10-10 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-09-13 2023-10-10 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-09-15 2023-10-04 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 2023-09-15 2023-10-04 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 2023-09-15 2023-10-04 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 2023-09-15 2023-10-04 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-09-15 2023-10-04 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-15 2023-10-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-30 2023-09-20 Y
Ensure that residents are free from significant medication errors. Health 2023-08-30 2023-09-20 Y
Respond appropriately to all alleged violations. Health 2023-05-10 2023-05-31 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-05-10 2023-05-31 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-10 2023-05-31 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-10 2023-05-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-10 2023-05-31 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-10 2023-05-31 Y
Provide and implement an infection prevention and control program. Health 2023-05-10 2023-05-31 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-19 2023-05-19 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-04-19 2023-05-19 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-04-03 2023-04-26 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-03 2023-04-26 Y
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 2023-02-27 2023-03-21 Y
Ensure that residents are free from significant medication errors. Health 2023-02-27 2023-03-21 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-02-27 2023-03-21 Y
Respond appropriately to all alleged violations. Health 2022-11-03 2022-12-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-03 2022-12-01 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-11-03 2022-12-01 Y
Respond appropriately to all alleged violations. Health 2022-07-21 2022-08-22 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-03-16 2022-05-02 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-03-16 2022-05-02 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-03-16 2022-05-02 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-03-16 2022-05-02 N
Ensure each resident receives an accurate assessment. Health 2022-03-16 2022-05-02 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-16 2022-05-02 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-16 2022-05-02 N
Provide activities to meet all resident's needs. Health 2022-03-16 2022-05-02 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 2022-03-16 2022-05-02 N
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 2022-03-16 2022-05-02 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-03-16 2022-05-02 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 2022-03-16 2022-05-02 N
Post nurse staffing information every day. Health 2022-03-16 2022-05-02 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-03-16 2022-05-02 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-03-16 2022-05-02 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 2022-03-16 2022-05-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-16 2022-05-02 N
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Health 2022-03-16 2022-05-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-16 2022-05-02 N
Provide and implement an infection prevention and control program. Health 2022-03-16 2022-05-02 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-03-16 2022-05-02 N
Perform COVID19 testing on residents and staff. Health 2022-03-16 2022-05-02 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-03-16 2022-05-02 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-16 2022-05-02 Y
Respond appropriately to all alleged violations. Health 2022-03-16 2022-05-02 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-03-16 2022-05-02 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-03-01 2022-03-30 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-03-01 2022-03-30 Y
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 2022-03-01 2022-03-30 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2022-03-01 2022-03-30 Y
Install corridor and hallway doors that block smoke. Fire Safety 2022-03-03 2022-03-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-03-03 2022-03-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-03-03 2022-03-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-03-03 2022-03-28 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2021-10-25 2021-11-08 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-10-25 2021-11-08 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-04-24 2019-06-03 N
Respond appropriately to all alleged violations. Health 2019-04-24 2019-06-03 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 2019-04-24 2019-06-03 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2019-04-24 2019-06-03 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 2019-04-24 2019-06-03 N
Provide activities to meet all resident's needs. Health 2019-04-24 2019-06-03 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 2019-04-24 2019-06-03 N
Post nurse staffing information every day. Health 2019-04-24 2019-06-03 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2019-04-24 2019-06-03 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-04-24 2019-06-03 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 2019-04-24 2019-06-03 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 2019-04-24 2019-06-03 N
Provide or obtain dental services for each resident. Health 2019-04-24 2019-06-03 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2019-04-24 2019-06-03 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-04-24 2019-06-03 N
Provide and implement an infection prevention and control program. Health 2019-04-24 2019-06-03 N
Implement a program that monitors antibiotic use. Health 2019-04-24 2019-06-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-04-17 2019-05-22 N
Provide properly protected cooking facilities. Fire Safety 2019-04-17 2019-05-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-04-17 2019-05-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-04-17 2019-05-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-04-17 2019-05-22 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-04-17 2019-05-22 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-04-17 2019-05-22 N

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