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Deficiency Records for Mcclure Post Acute
A list of the most recent deficiencies for Mcclure Post Acute. 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 Mcclure Post Acute. 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? |
|---|---|---|---|---|
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-02-23 | 2024-03-11 | 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 | 2024-02-23 | 2024-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-23 | 2024-03-11 | 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 | 2024-02-26 | 2024-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-26 | 2024-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-26 | 2024-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-26 | 2024-03-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-26 | 2024-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-26 | 2024-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-26 | 2024-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-26 | 2024-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-02 | 2023-03-13 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-09 | 2022-07-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-09 | 2022-07-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-09 | 2022-07-21 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-06-09 | 2022-07-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-09 | 2022-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-07-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-09 | 2022-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish methods for sharing information. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-06-22 | 2022-07-13 | 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 | 2022-06-22 | 2022-07-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-22 | 2022-07-13 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-11-30 | 2021-12-17 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-23 | 2019-11-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-12 | 2019-09-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-12 | 2019-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-12 | 2019-09-17 | N |
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