Deficiency Records for Mayflower Gardens Convalescent Hospital
Updated as of February 01, 2019
This is not the most recent data for Mayflower Gardens Convalescent Hospital. For the most recent information, click here.
A list of the most recent deficiencies for Mayflower Gardens Convalescent Hospital. 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 patient/client population and determine types of services needed. | Fire Safety | 2018-04-07 | 2018-04-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-04-07 | 2018-04-27 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-04-07 | 2018-04-27 | N |
| Establish methods for sharing information. | Fire Safety | 2018-04-07 | 2018-04-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-04-07 | 2018-04-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-07 | 2018-04-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-07 | 2018-04-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-04-07 | 2018-04-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-04-07 | 2018-04-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-07 | 2018-04-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-07 | 2018-04-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-04-08 | 2018-04-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-08 | 2018-04-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-08 | 2018-04-25 | 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 | 2018-04-08 | 2018-04-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-08 | 2018-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-08 | 2018-04-25 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-02 | 2017-04-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-04-02 | 2017-04-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-02 | 2017-04-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-02 | 2017-04-24 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-04-02 | 2017-04-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-02 | 2017-04-24 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-02 | 2017-04-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-02 | 2017-04-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-02 | 2017-04-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-02 | 2017-04-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-02 | 2017-04-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-04-01 | 2017-04-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-04-01 | 2017-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-01 | 2017-04-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-04-01 | 2017-04-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-01 | 2017-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-01 | 2017-04-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-01 | 2017-04-21 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-01-19 | 2016-02-12 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-01-19 | 2016-02-12 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-01-19 | 2016-02-12 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-01-19 | 2016-02-12 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-01-19 | 2016-02-12 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-01-19 | 2016-02-12 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-01-19 | 2016-02-12 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2016-01-19 | 2016-02-12 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-01-19 | 2016-02-12 | N |
| Proper facilities for the use and storage of combustible liquids. | Fire Safety | 2016-01-19 | 2016-02-12 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-01-19 | 2016-02-12 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-01-17 | 2016-02-12 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-17 | 2016-02-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-01-17 | 2016-02-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-17 | 2016-02-12 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-01-17 | 2016-02-12 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-01-17 | 2016-02-12 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-01-17 | 2016-02-12 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-01-17 | 2016-02-12 | N |
