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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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