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Deficiency Records for Maywood Skilled Nursing and Wellness Centre
A list of the most recent deficiencies for Maywood Skilled Nursing and Wellness Centre. 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 Maywood Skilled Nursing and Wellness Centre. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-09 | 2024-07-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-09 | 2024-07-22 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-01-26 | 2024-02-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-14 | 2024-01-06 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-12-14 | 2024-01-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-14 | 2024-01-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-14 | 2024-01-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-14 | 2024-01-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-12-14 | 2024-01-06 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-12-14 | 2024-01-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-14 | 2024-01-06 | 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 | 2023-12-14 | 2024-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-14 | 2024-01-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-14 | 2024-01-06 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-20 | 2024-01-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-07 | 2023-11-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-01 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-08-14 | 2023-08-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-11 | 2023-08-21 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-08-11 | 2023-08-21 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-08-11 | 2023-08-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-30 | 2023-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-11 | 2023-06-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-29 | 2023-01-18 | Y |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-12-22 | 2023-01-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-08 | 2023-01-11 | 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 | 2022-12-08 | 2023-01-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-08 | 2023-01-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-08 | 2023-01-11 | 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 | 2022-12-08 | 2023-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-01-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-08 | 2023-01-11 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-12-08 | 2023-01-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-08 | 2023-01-11 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-08 | 2023-01-11 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-12-08 | 2023-01-11 | Y |
| 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 | 2022-12-08 | 2023-01-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-24 | 2022-09-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-13 | 2020-05-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-03-13 | 2020-05-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-13 | 2020-05-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-13 | 2020-05-01 | N |
| Provide activities to meet all resident's needs. | Health | 2020-03-13 | 2020-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-13 | 2020-05-01 | 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 | 2020-03-13 | 2020-05-01 | 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 | 2020-03-13 | 2020-05-01 | 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 | 2020-03-13 | 2020-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-13 | 2020-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-13 | 2020-05-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-03-13 | 2020-05-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-03-13 | 2020-05-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-03-12 | 2020-04-06 | 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 | 2020-03-12 | 2020-04-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-12 | 2020-04-06 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-03-12 | 2020-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-12 | 2020-04-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-12 | 2020-04-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-03-12 | 2020-04-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-12 | 2020-04-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-12 | 2020-04-06 | N |
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