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Deficiency Records for Heritage House of Marshall Health and Rehabilitation

A list of the most recent deficiencies for Heritage House of Marshall Health 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 Heritage House of Marshall Health 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?
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-06-26 2024-08-02 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-06-26 2024-08-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-23 2024-08-02 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-06-26 2024-07-20 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-06-26 2024-07-20 N
Ensure the activities program is directed by a qualified professional. Health 2024-06-26 2024-06-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-26 2024-06-28 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 2024-06-26 2024-06-28 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-06-26 2024-06-28 N
Provide and implement an infection prevention and control program. Health 2024-06-26 2024-06-28 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-06-26 2024-06-27 N
Ensure each resident receives an accurate assessment. Health 2024-06-26 2024-06-27 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-06-26 2024-06-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-26 2024-06-27 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-06-26 2024-06-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-06-26 2024-06-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-26 2024-06-27 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-06-26 2024-06-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-06-26 2024-06-27 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 2024-06-26 2024-06-27 N
Ensure that residents are free from significant medication errors. Health 2024-06-26 2024-06-27 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-06-12 2024-06-13 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-12 2024-06-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-12 2024-06-13 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-05-26 2024-05-28 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-18 2023-08-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-11 2023-06-23 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-05-11 2023-06-23 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-05-11 2023-06-23 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-05-11 2023-06-23 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-11 2023-06-23 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-05-11 2023-06-23 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-05-11 2023-06-23 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-05-11 2023-06-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-11 2023-06-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-05-11 2023-06-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-11 2023-06-23 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 2023-05-11 2023-06-23 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 2023-05-11 2023-06-23 N
Implement a program that monitors antibiotic use. Health 2023-05-11 2023-06-23 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-05-11 2023-06-23 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-11 2023-06-23 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-15 2023-03-10 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-02-15 2023-03-10 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-15 2023-03-10 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-15 2023-03-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-15 2023-03-10 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-02-15 2023-03-10 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-07 2023-01-05 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-08-17 2022-09-16 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-17 2022-09-16 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-17 2022-09-16 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 2022-08-17 2022-09-16 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-03-24 2022-04-18 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2022-03-24 2022-04-18 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 2022-03-24 2022-04-18 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-03-24 2022-04-18 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-24 2022-04-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-24 2022-04-18 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 2022-03-24 2022-04-18 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-24 2022-04-18 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-03-24 2022-04-18 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 2022-03-24 2022-04-18 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2022-03-22 2022-04-18 N

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