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Deficiency Records for Marine Creek Nursing and Rehabilitation
A list of the most recent deficiencies for Marine Creek Nursing and Rehabilitation. 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 Marine Creek Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Construct fire resistant interior walls. | Fire Safety | 2024-08-22 | 2024-09-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-22 | 2024-09-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-22 | 2024-08-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-22 | 2024-08-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-22 | 2024-08-23 | 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 | 2024-08-22 | 2024-08-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-08-22 | 2024-08-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-08-22 | 2024-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-22 | 2024-08-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-22 | 2024-08-23 | 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 | 2024-08-19 | 2024-08-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-29 | 2024-07-30 | Y |
| 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 | 2024-07-29 | 2024-07-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-28 | 2024-06-29 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-03 | 2024-05-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-03 | 2024-05-04 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-03 | 2024-05-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-14 | 2024-04-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-14 | 2024-04-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-14 | 2024-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-14 | 2024-04-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-16 | 2023-11-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-11-17 | Y |
| 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 | 2023-11-16 | 2023-11-17 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-11-16 | 2023-11-17 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-12 | 2023-08-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-13 | 2023-07-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-13 | 2023-07-17 | 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 | 2023-07-12 | 2023-07-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-12 | 2023-07-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-12 | 2023-07-12 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-05-19 | 2023-06-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-06-13 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-19 | 2023-06-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-09 | 2023-05-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-21 | 2022-12-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-21 | 2022-12-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-13 | 2022-07-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-06-29 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-06-02 | 2022-06-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-02 | 2022-06-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-02 | 2022-06-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-12 | 2022-01-13 | Y |
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