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Deficiency Records for Marina Pointe Healthcare and Subacute
A list of the most recent deficiencies for Marina Pointe Healthcare and Subacute. 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 Marina Pointe Healthcare and Subacute. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-11 | 2024-08-10 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-04-25 | 2024-05-25 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-26 | 2024-02-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-26 | 2024-02-25 | N |
| 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 | 2024-01-26 | 2024-02-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-26 | 2024-02-25 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-01-26 | 2024-02-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-26 | 2024-02-25 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-01-26 | 2024-02-25 | N |
| Provide activities to meet all resident's needs. | Health | 2024-01-26 | 2024-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-26 | 2024-02-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-01-26 | 2024-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-26 | 2024-02-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-26 | 2024-02-25 | 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 | 2024-01-26 | 2024-02-25 | 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 | 2024-01-26 | 2024-02-25 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-01-26 | 2024-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-02-25 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-01-26 | 2024-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-02-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-01-26 | 2024-02-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-01-25 | 2024-02-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-25 | 2024-02-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-25 | 2024-02-24 | 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 | 2024-01-25 | 2024-02-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-01-25 | 2024-02-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-25 | 2024-02-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-25 | 2024-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-14 | 2024-01-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-18 | 2023-09-17 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-04-04 | 2023-04-14 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-01-12 | 2023-03-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-12 | 2023-03-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-12 | 2023-02-12 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-01-12 | 2023-02-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-01-12 | 2023-02-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-12 | 2023-02-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-12 | 2023-02-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-12 | 2023-02-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-01-12 | 2023-02-08 | 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 | 2023-01-12 | 2023-02-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-12 | 2023-02-08 | 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 | 2023-01-12 | 2023-02-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-12 | 2023-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-10 | 2023-01-26 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-01-10 | 2023-01-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-10 | 2023-01-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-01-10 | 2023-01-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-10 | 2023-01-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-10 | 2023-01-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-02 | 2022-12-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-03-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-10 | 2022-03-30 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2020-01-27 | 2020-02-24 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-01-27 | 2020-02-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-27 | 2020-02-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-27 | 2020-02-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-27 | 2020-02-24 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2020-01-27 | 2020-02-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-27 | 2020-02-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-27 | 2020-02-24 | 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 | 2020-01-27 | 2020-02-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-27 | 2020-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-27 | 2020-02-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-27 | 2020-02-24 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-01-27 | 2020-02-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-23 | 2020-02-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-23 | 2020-02-19 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2020-01-23 | 2020-02-19 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2020-01-23 | 2020-02-19 | 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 | 2020-01-23 | 2020-02-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-23 | 2020-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-23 | 2020-02-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-23 | 2020-02-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-23 | 2020-02-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-23 | 2020-02-19 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2020-01-23 | 2020-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-23 | 2020-02-19 | N |
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