Deficiency Records for Diversicare of Montgomery
Updated as of March 01, 2019
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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-12-20 | 2019-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-20 | 2019-01-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-20 | 2019-01-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-13 | 2019-01-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-13 | 2019-01-17 | 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 | 2018-12-13 | 2019-01-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-13 | 2019-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-13 | 2019-01-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-13 | 2019-01-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-13 | 2019-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-13 | 2019-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-13 | 2019-01-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-20 | 2019-01-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-12-20 | 2019-01-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-20 | 2019-01-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-20 | 2019-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-23 | 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 |
