Deficiency Records for Diversicare of Montgomery
Updated as of December 01, 2018
This is not the most recent data for Diversicare of Montgomery. For the most recent information, click here.
A list of the most recent deficiencies for Diversicare of Montgomery. 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 | 2018-08-23 | 2018-10-01 | 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 | 2018-08-23 | 2018-10-01 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-27 | 2018-04-03 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2018-02-22 | 2018-03-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-22 | 2018-03-29 | 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 | 2018-02-22 | 2018-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-22 | 2018-03-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-02-22 | 2018-03-29 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-11-18 | 2017-12-21 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-18 | 2017-12-21 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-18 | 2017-12-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-11-18 | 2017-12-21 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-18 | 2017-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-18 | 2017-12-21 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-11-18 | 2017-12-21 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-11-18 | 2017-12-21 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-18 | 2017-12-21 | Y |
| 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 | 2017-01-09 | 2017-02-13 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-01-09 | 2017-02-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-01-09 | 2017-02-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-01-09 | 2017-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-01-09 | 2017-02-13 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-05 | 2017-02-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-05 | 2017-02-13 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-01-05 | 2017-02-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-05 | 2017-02-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-05 | 2017-02-13 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Portable fire extinguishers. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| A separate and independent backup electrical power source. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-12-11 | 2016-01-14 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-12-10 | 2016-01-08 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-12-10 | 2016-01-08 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-12-10 | 2016-01-08 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-12-10 | 2016-01-08 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-12-10 | 2016-01-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-10 | 2016-01-08 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-12-10 | 2016-01-08 | N |
