Deficiency Records for Methodist Health and Rehab
Updated as of January 01, 2020
This is not the most recent data for Methodist Health and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Methodist Health and Rehab. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-26 | 2019-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-26 | 2019-09-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-26 | 2019-09-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-30 | 2019-09-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-30 | 2019-09-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-30 | 2019-09-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-30 | 2019-09-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-30 | 2019-09-29 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-08-30 | 2019-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-30 | 2019-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-09 | 2019-07-19 | Y |
| 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 | 2018-09-27 | 2018-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-27 | 2018-10-28 | N |
| Be properly staffed | Fire Safety | 2018-09-27 | 2018-10-28 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-09-28 | 2018-10-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-28 | 2018-10-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-28 | 2018-10-28 | 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 | 2018-09-28 | 2018-10-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-28 | 2018-10-28 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-09-28 | 2018-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-28 | 2018-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-28 | 2018-10-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-09-28 | 2018-10-28 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2018-09-28 | 2018-09-28 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-09-28 | 2018-09-28 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-09-28 | 2018-09-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-28 | 2018-09-28 | 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 | 2018-09-28 | 2018-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-13 | 2017-09-28 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-11 | 2017-08-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-11 | 2017-08-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-07-14 | 2017-08-04 | 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 | 2017-07-14 | 2017-08-04 | N |
| 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 | 2017-07-14 | 2017-08-04 | 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 | 2017-07-14 | 2017-08-04 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-07-14 | 2017-08-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-14 | 2017-08-04 | N |
| Dispose of garbage and refuse properly. | Health | 2017-07-14 | 2017-08-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-14 | 2017-08-04 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-07-14 | 2017-08-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-14 | 2017-08-04 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-07-14 | 2017-08-04 | Y |
