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Deficiency Records for Masonic Home
A list of the most recent deficiencies for Masonic Home. 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 Masonic Home. 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-13 | 2023-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-13 | 2023-08-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-13 | 2023-07-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-19 | 2023-07-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-10-14 | 2021-10-28 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-02 | 2019-09-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-02 | 2019-09-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-02 | 2019-09-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-02 | 2019-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-02 | 2019-09-02 | N |
| Use approved construction type or materials. | Fire Safety | 2018-08-22 | 2018-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-22 | 2018-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-22 | 2018-09-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-22 | 2018-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-22 | 2018-09-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-22 | 2018-09-10 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-08-22 | 2018-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-22 | 2018-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-22 | 2018-09-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-07 | 2018-07-07 | 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 | 2018-06-07 | 2018-07-07 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-06-07 | 2018-07-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-07 | 2018-07-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-07 | 2018-07-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-07 | 2018-07-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-07 | 2018-07-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-06-07 | 2018-07-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-07 | 2018-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-07 | 2018-07-07 | N |
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