A list of the most recent deficiencies for Maywood Acres Healthcare. 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? |
---|---|---|---|---|
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-03 | 2023-08-14 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-08 | 2023-03-17 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-27 | 2023-02-06 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-27 | 2023-02-06 | Y |
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 | 2022-08-23 | 2022-08-30 | 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 | 2021-07-30 | 2021-09-24 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-07-30 | 2021-09-24 | 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 | 2021-07-30 | 2021-09-24 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-30 | 2021-09-24 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-30 | 2021-09-24 | 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 | 2021-07-30 | 2021-09-24 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-07-30 | 2021-09-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-30 | 2021-09-24 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-30 | 2021-09-24 | N |
Provide and implement an infection prevention and control program. | Health | 2021-07-30 | 2021-09-24 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-30 | 2021-09-24 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-30 | 2021-09-24 | 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 | 2021-08-04 | 2021-08-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-04 | 2021-08-12 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-04 | 2021-08-12 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-05 | 2021-06-11 | Y |
Provide emergency officials' contact information. | Fire Safety | 2020-07-27 | 2020-08-24 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-07-27 | 2020-08-24 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-07-27 | 2020-08-24 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-07-27 | 2020-08-24 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-20 | 2020-04-24 | 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 | 2020-02-20 | 2020-04-24 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-02-20 | 2020-02-28 | N |
Provide activities to meet all resident's needs. | Health | 2020-02-20 | 2020-02-26 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-20 | 2020-02-22 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-20 | 2020-02-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-20 | 2020-02-22 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
Implement emergency and standby power systems. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-17 | 2019-05-07 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-02-21 | 2019-03-19 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-21 | 2019-03-19 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-21 | 2019-03-19 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-02-21 | 2019-03-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-21 | 2019-03-19 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-21 | 2019-03-19 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-02-21 | 2019-03-19 | N |