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Deficiency Records for Montello Care Center
A list of the most recent deficiencies for Montello 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 Montello 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-30 | 2024-10-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-30 | 2024-10-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-30 | 2024-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-30 | 2024-10-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-07-30 | 2024-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-30 | 2024-09-19 | 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 | 2024-07-31 | 2024-09-16 | Y |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-07-30 | 2024-09-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-30 | 2024-09-03 | 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 | 2024-07-31 | 2024-08-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-31 | 2024-08-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-31 | 2024-08-26 | 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 | 2024-07-31 | 2024-08-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-31 | 2024-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-31 | 2024-08-26 | 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 | 2024-07-31 | 2024-08-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-31 | 2024-08-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-31 | 2024-08-26 | 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 | 2024-07-31 | 2024-08-26 | 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 | 2024-07-31 | 2024-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-31 | 2024-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-31 | 2024-08-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-31 | 2024-08-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-31 | 2024-08-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-31 | 2024-08-26 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-30 | 2024-08-26 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-30 | 2024-08-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-30 | 2024-08-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-30 | 2024-08-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-07-30 | 2024-08-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-07-30 | 2024-08-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-09 | 2024-05-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-09 | 2024-05-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-09 | 2024-05-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-09 | 2024-05-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-09 | 2024-05-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-18 | 2023-10-18 | Y |
| 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 | 2023-07-19 | 2023-08-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-19 | 2023-08-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-01 | 2023-06-30 | 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 | 2023-06-01 | 2023-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-01 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-01 | 2023-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-01 | 2023-06-30 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-06-01 | 2023-06-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-01 | 2023-06-30 | 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 | 2023-06-01 | 2023-06-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-31 | 2023-06-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-31 | 2023-06-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-31 | 2023-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-31 | 2023-06-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-05-31 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-31 | 2023-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-31 | 2023-06-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-13 | 2023-01-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-13 | 2023-01-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-13 | 2023-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-13 | 2023-01-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-24 | 2022-12-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-24 | 2022-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-24 | 2022-11-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-21 | 2022-08-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-21 | 2022-08-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-22 | 2022-08-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-23 | 2022-07-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-23 | 2022-07-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-22 | 2022-07-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-22 | 2022-07-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-22 | 2022-07-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-23 | 2022-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-23 | 2022-07-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-06-23 | 2022-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-23 | 2022-07-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-04 | 2022-06-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-04 | 2022-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-04 | 2022-06-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-04 | 2022-05-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-19 | 2022-02-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-19 | 2022-02-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-19 | 2022-02-12 | Y |
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