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Deficiency Records for Martinsburg Healthcare Center
A list of the most recent deficiencies for Martinsburg 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 Martinsburg 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-19 | 2023-10-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-19 | 2023-10-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-19 | 2023-10-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-24 | 2023-07-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-24 | 2023-07-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-24 | 2023-07-11 | 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 | 2023-05-24 | 2023-07-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-24 | 2023-07-11 | 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 | 2023-05-24 | 2023-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-24 | 2023-07-11 | 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 | 2023-05-24 | 2023-07-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-24 | 2023-07-11 | N |
| Post nurse staffing information every day. | Health | 2023-05-24 | 2023-07-11 | 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 | 2023-05-24 | 2023-07-11 | 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 | 2023-05-24 | 2023-07-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-24 | 2023-07-11 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-24 | 2023-07-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-24 | 2023-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-24 | 2023-07-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-24 | 2023-07-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-24 | 2023-07-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-24 | 2023-07-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-24 | 2023-07-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-24 | 2023-07-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-07-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-24 | 2023-07-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-24 | 2023-07-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-23 | 2023-06-28 | 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 | 2023-05-23 | 2023-06-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-23 | 2023-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-23 | 2023-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-06-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-23 | 2023-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-23 | 2023-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-23 | 2023-06-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-23 | 2023-06-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-23 | 2023-06-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-14 | 2022-07-21 | 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 | 2022-06-14 | 2022-07-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-14 | 2022-07-21 | 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 | 2022-06-14 | 2022-07-21 | 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 | 2022-06-14 | 2022-07-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-14 | 2022-07-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-14 | 2022-07-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-14 | 2022-07-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-14 | 2022-07-21 | Y |
| 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 | 2022-06-14 | 2022-07-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-14 | 2022-07-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-14 | 2022-07-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-07 | 2022-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-07 | 2022-06-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-06-07 | 2022-06-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-01 | 2019-11-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-01 | 2019-11-07 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-10-01 | 2019-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-01 | 2019-11-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-01 | 2019-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-01 | 2019-11-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-01 | 2019-11-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-10-01 | 2019-11-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-01 | 2019-11-07 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-10-01 | 2019-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-02 | 2019-10-31 | N |
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