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Deficiency Records for Madera Rehabilitation and Nursing Center

A list of the most recent deficiencies for Madera Rehabilitation and Nursing Center. 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 Madera Rehabilitation and Nursing 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?
Address subsistence needs for staff and patients. Fire Safety 2024-06-24 2024-07-22 N
List the names and contact information of those in the facility. Fire Safety 2024-06-24 2024-07-22 N
Conduct testing and exercise requirements. Fire Safety 2024-06-24 2024-07-22 N
Use approved construction type or materials. Fire Safety 2024-06-24 2024-07-22 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-06-24 2024-07-22 N
Provide properly protected cooking facilities. Fire Safety 2024-06-24 2024-07-22 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-06-24 2024-07-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-24 2024-07-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-06-24 2024-07-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-06-24 2024-07-22 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-06-24 2024-07-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-06-24 2024-07-22 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-06-24 2024-07-22 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-06-24 2024-07-22 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 2024-06-21 2024-07-20 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-06-21 2024-07-20 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 2024-06-21 2024-07-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-21 2024-07-20 N
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2024-06-21 2024-07-20 N
Provide and implement an infection prevention and control program. Health 2024-06-21 2024-07-20 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-06-21 2024-07-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-02 2024-04-26 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-04-04 2024-04-26 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-04-04 2024-04-26 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-04-04 2024-04-26 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-03-08 2024-04-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-15 2023-12-08 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-21 2023-05-19 Y
Provide and implement an infection prevention and control program. Health 2023-03-09 2023-05-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-23 2022-10-10 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-06-05 2019-07-09 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2019-06-05 2019-07-09 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2019-06-05 2019-07-09 N
List the names and contact information of those in the facility. Fire Safety 2019-06-05 2019-07-09 N
Implement emergency and standby power systems. Fire Safety 2019-06-05 2019-07-09 N
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 2019-06-05 2019-07-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-06-05 2019-07-09 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-04-26 2019-06-25 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-04-26 2019-06-25 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2019-04-26 2019-06-25 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 2019-04-26 2019-06-25 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-04-26 2019-06-25 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-04-26 2019-06-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-04-26 2019-06-25 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 2019-04-26 2019-06-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-26 2019-06-25 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2019-04-26 2019-06-25 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-04-26 2019-06-25 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-04-26 2019-06-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-07-03 2018-09-14 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-07-03 2018-09-14 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2018-07-03 2018-09-14 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2018-07-03 2018-09-14 N
Ensure that residents are free from significant medication errors. Health 2018-07-03 2018-09-14 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 2018-07-03 2018-09-14 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 2018-07-03 2018-09-14 N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2018-07-03 2018-09-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-07-03 2018-09-14 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2018-07-03 2018-09-14 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-07-03 2018-09-14 N
Provide and implement an infection prevention and control program. Health 2018-07-03 2018-09-14 N
Keep all essential equipment working safely. Health 2018-07-03 2018-09-14 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2018-07-03 2018-09-14 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2018-07-03 2018-09-14 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2018-07-18 2018-08-03 N
Implement emergency and standby power systems. Fire Safety 2018-07-18 2018-08-03 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 2018-07-18 2018-08-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-07-18 2018-08-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-07-18 2018-08-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-07-18 2018-08-03 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2018-07-18 2018-08-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-07-18 2018-08-03 N

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