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Deficiency Records for Marlora Post Acute Rehab Hosp
View the most recent health deficiencies and inspection results for Marlora Post Acute Rehab Hosp. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Marlora Post Acute Rehab Hosp. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-03-12 | 2026-04-10 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2026-03-12 | 2026-04-10 | 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 | 2026-03-12 | 2026-04-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2026-03-12 | 2026-04-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-03-12 | 2026-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-12 | 2026-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-12 | 2026-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-12 | 2026-04-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-12 | 2026-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-12 | 2026-04-10 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2026-03-12 | 2026-04-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2026-03-12 | 2026-04-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2026-03-12 | 2026-04-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-03-12 | 2026-04-10 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2026-03-12 | 2026-04-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2026-03-12 | 2026-04-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2026-03-12 | 2026-04-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-12 | 2026-04-10 | 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 | 2026-03-12 | 2026-04-10 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2026-03-12 | 2026-04-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-03-12 | 2026-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-03-12 | 2026-04-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-03-12 | 2026-04-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-03-12 | 2026-04-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-03-12 | 2026-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-12 | 2026-04-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-05 | 2026-01-23 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-11-23 | 2025-12-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-08 | 2025-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-21 | 2025-09-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-21 | 2025-09-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-28 | 2025-06-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-28 | 2025-06-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-06 | 2025-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-06 | 2025-01-03 | N |
| Respond appropriately to all alleged violations. | Health | 2024-12-06 | 2025-01-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-06 | 2025-01-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-06 | 2025-01-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-12-06 | 2025-01-03 | 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 | 2024-12-06 | 2025-01-03 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-12-06 | 2025-01-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-06 | 2025-01-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-12-06 | 2025-01-03 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-12-06 | 2025-01-03 | 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 | 2024-12-06 | 2025-01-03 | 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 | 2024-12-06 | 2025-01-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-12-06 | 2025-01-03 | 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 | 2024-12-06 | 2025-01-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-12-06 | 2025-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-06 | 2025-01-03 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-12-06 | 2025-01-03 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-12-06 | 2025-01-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-12-06 | 2024-12-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-12-06 | 2024-12-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-06 | 2024-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-06 | 2024-12-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-06 | 2024-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-06 | 2024-12-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-12-06 | 2024-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-05 | 2024-12-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-13 | 2024-10-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-13 | 2024-10-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-13 | 2024-10-11 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-08-26 | 2024-09-25 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-18 | 2024-08-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-29 | 2024-02-28 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-08 | 2023-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-08 | 2023-12-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-08 | 2023-12-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-08 | 2023-12-31 | N |
| Provide or obtain dental services for each resident. | Health | 2023-12-08 | 2023-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-08 | 2023-12-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-14 | 2023-12-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-19 | 2023-11-18 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-10-19 | 2023-11-18 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-10-19 | 2023-11-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-25 | 2023-10-20 | Y |