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Deficiency Records for Maryhill Manor
A list of the most recent deficiencies for Maryhill Manor. 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 Maryhill Manor. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-12-18 | 2025-01-07 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-11-06 | 2024-12-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-06 | 2024-11-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-06 | 2024-11-18 | 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 | 2024-11-06 | 2024-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-06 | 2024-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-06 | 2024-11-18 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-11-06 | 2024-11-18 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-11-06 | 2024-11-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-11-06 | 2024-11-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-25 | 2024-07-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-25 | 2024-07-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-25 | 2024-07-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-27 | 2023-10-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-09-27 | 2023-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-27 | 2023-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-10-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-27 | 2023-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-27 | 2023-10-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-27 | 2023-10-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-31 | 2022-11-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-31 | 2022-11-30 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-08-31 | 2022-10-14 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-31 | 2022-10-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-31 | 2022-09-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-31 | 2022-09-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-08-31 | 2022-09-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-08-31 | 2022-09-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-31 | 2022-09-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-08-31 | 2022-09-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-31 | 2022-09-02 | 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 | 2022-08-31 | 2022-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-06 | Not Fixed | N |
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