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Deficiency Records for Monroe Health Services
A list of the most recent deficiencies for Monroe Health Services. 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 Monroe Health Services. 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? |
|---|---|---|---|---|
| Construct fire resistant interior walls. | Fire Safety | 2024-08-07 | 2024-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-07 | 2024-10-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-07 | 2024-10-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-07 | 2024-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-07 | 2024-10-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-08 | 2024-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-08 | 2024-09-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-08 | 2024-09-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-08 | 2024-09-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-08 | 2024-09-06 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-08 | 2024-09-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-08 | 2024-09-06 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-08-08 | 2024-09-06 | 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 | 2024-02-07 | 2024-03-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-07 | 2024-03-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-07 | 2024-03-01 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-12-06 | 2023-12-22 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-04-25 | 2023-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-25 | 2023-05-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-25 | 2023-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-25 | 2023-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-24 | 2023-05-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-24 | 2023-05-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-24 | 2023-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-24 | 2023-05-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-24 | 2023-05-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-20 | 2022-10-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-29 | 2022-04-25 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-03-29 | 2022-04-25 | 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 | 2022-03-29 | 2022-04-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-29 | 2022-04-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-29 | 2022-04-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-29 | 2022-04-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-29 | 2022-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-29 | 2022-04-25 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-15 | 2022-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-15 | 2022-04-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-15 | 2022-01-06 | Y |
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