Deficiency Records for Montrose Springs Skilled Nursing and Wellness Center
Updated as of September 01, 2016
This is not the most recent data for Montrose Springs Skilled Nursing and Wellness Center. For the most recent information, click here.
A list of the most recent deficiencies for Montrose Springs Skilled Nursing and Wellness 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? |
|---|---|---|---|---|
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-17 | 2016-06-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-05-17 | 2016-06-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-05-17 | 2016-06-06 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-05-17 | 2016-06-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-17 | 2016-06-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-17 | 2016-06-06 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2016-05-17 | 2016-06-06 | 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 | 2016-05-17 | 2016-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-17 | 2016-06-06 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-05-17 | 2016-06-06 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-05-17 | 2016-06-06 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-05-17 | 2016-06-06 | 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 | 2016-05-17 | 2016-06-06 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-05-17 | 2016-06-06 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-05-17 | 2016-06-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-17 | 2016-06-06 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-05-17 | 2016-06-06 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-05-17 | 2016-06-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-17 | 2016-06-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-17 | 2016-06-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-05-17 | 2016-06-06 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-05-17 | 2016-06-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-17 | 2016-06-06 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2016-05-11 | 2016-06-06 | N |
| Proper facilities for the use and storage of combustible liquids. | Fire Safety | 2016-05-11 | 2016-06-06 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-11 | 2016-06-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-11 | 2016-02-03 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2015-11-19 | 2015-11-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-15 | 2015-10-05 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-09-18 | 2015-09-28 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-14 | 2015-09-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-14 | 2015-09-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-06-23 | 2015-07-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-23 | 2015-07-22 | Y |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2015-06-23 | 2015-07-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-10 | 2015-04-30 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-01-23 | 2015-03-17 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-01-23 | 2015-03-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-01-23 | 2015-03-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-01-23 | 2015-03-17 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2015-01-23 | 2015-03-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-01-23 | 2015-03-17 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-01-23 | 2015-03-17 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-01-23 | 2015-03-17 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-01-23 | 2015-03-17 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-01-23 | 2015-03-17 | 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 | 2015-01-23 | 2015-03-17 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-01-23 | 2015-03-17 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-01-23 | 2015-03-17 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2015-01-23 | 2015-03-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-01-23 | 2015-03-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-01-23 | 2015-03-17 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-01-23 | 2015-03-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-01-23 | 2015-03-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-01-23 | 2015-03-17 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2015-01-23 | 2015-03-17 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-01-23 | 2015-03-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-01-23 | 2015-03-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-01-23 | 2015-03-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-02-23 | 2015-03-02 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2015-02-23 | 2015-03-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-02-23 | 2015-03-02 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2015-02-23 | 2015-03-02 | Y |
| Allow residents to have visitors. | Health | 2015-02-23 | 2015-03-02 | Y |
| Give notice to the resident before a room or roommate change. | Health | 2015-02-23 | 2015-03-02 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-02-23 | 2015-03-02 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-02-23 | 2015-03-02 | Y |
| Approved construction type or materials. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Portable fire extinguishers. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-01-23 | 2015-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-08 | 2015-02-05 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2014-11-18 | 2015-01-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-11-18 | 2015-01-20 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2014-11-18 | 2015-01-20 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-11-18 | 2015-01-20 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2013-12-12 | 2014-02-03 | 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 | 2013-12-12 | 2014-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-12-12 | 2014-02-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-12-12 | 2014-02-03 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-12-12 | 2014-02-03 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2013-12-12 | 2014-02-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2013-12-12 | 2014-02-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2013-12-12 | 2014-02-03 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2013-12-12 | 2014-02-03 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-12-06 | 2014-01-31 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2013-12-06 | 2014-01-31 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2013-12-06 | 2014-01-31 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2013-12-06 | 2014-01-31 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-12-06 | 2014-01-31 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2016-05-17 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-05-17 | Not Fixed | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2015-01-23 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2015-01-23 | Not Fixed | N |
