Deficiency Records for Montrose Healthcare Center
Updated as of July 01, 2023
This is not the most recent data for Montrose Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Montrose Healthcare Center. 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? |
---|---|---|---|---|
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-07 | 2023-03-13 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-04 | 2022-05-27 | 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 | 2022-05-04 | 2022-05-27 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-04 | 2022-05-27 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-04 | 2022-05-27 | 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 | 2022-05-04 | 2022-05-27 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-05-04 | 2022-05-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-04 | 2022-05-27 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-05-04 | 2022-05-27 | N |
Provide and implement an infection prevention and control program. | Health | 2022-05-04 | 2022-05-27 | N |
Implement a program that monitors antibiotic use. | Health | 2022-05-04 | 2022-05-27 | N |
Provide emergency officials' contact information. | Fire Safety | 2022-05-05 | 2022-05-27 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-05-05 | 2022-05-27 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-05 | 2022-05-27 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-05 | 2022-05-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-05 | 2022-05-27 | N |
Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2022-05-05 | 2022-05-27 | N |
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-03-04 | 2022-03-24 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-06 | 2021-12-17 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-10-28 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-09-20 | Y |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-09-15 | 2019-10-08 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-09-15 | 2019-10-08 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-15 | 2019-10-08 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-15 | 2019-10-08 | 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 | 2019-09-15 | 2019-10-08 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-15 | 2019-10-08 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-15 | 2019-10-08 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-15 | 2019-10-08 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-15 | 2019-10-08 | 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 | 2019-09-15 | 2019-10-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-15 | 2019-10-08 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-09-15 | 2019-10-08 | N |
Provide and implement an infection prevention and control program. | Health | 2019-09-15 | 2019-10-08 | N |
Implement a program that monitors antibiotic use. | Health | 2019-09-15 | 2019-10-08 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-09-15 | 2019-10-07 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-09-15 | 2019-10-07 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-15 | 2019-10-07 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-15 | 2019-10-07 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-10-03 | 2018-11-07 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-10-03 | 2018-11-07 | N |
Implement emergency and standby power systems. | Fire Safety | 2018-10-03 | 2018-11-07 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-10-03 | 2018-11-07 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-10-03 | 2018-11-07 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-03 | 2018-11-07 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2018-10-03 | 2018-11-07 | N |
Meet other general requirements. | Fire Safety | 2018-10-03 | 2018-11-07 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-27 | 2018-10-26 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-27 | 2018-10-26 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-09-27 | 2018-10-26 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-27 | 2018-10-26 | 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 | 2018-09-27 | 2018-10-26 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-27 | 2018-10-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-27 | 2018-10-26 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-27 | 2018-10-26 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-27 | 2018-10-26 | 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 | 2018-09-27 | 2018-10-26 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-27 | 2018-10-26 | 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 | 2018-09-27 | 2018-10-26 | 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 | 2018-09-27 | 2018-10-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-10-26 | N |
Provide and implement an infection prevention and control program. | Health | 2018-09-27 | 2018-10-26 | N |