Deficiency Records for Medical Center Convalescent Hospital
Updated as of March 01, 2024
A list of the most recent deficiencies for Medical Center 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 subsistence needs for staff and patients. | Fire Safety | 2023-05-16 | 2023-06-01 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-05-16 | 2023-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-16 | 2023-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-16 | 2023-06-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-05 | 2023-05-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-05 | 2023-05-26 | 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 | 2023-05-05 | 2023-05-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-05 | 2023-05-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-05 | 2023-05-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-05 | 2023-05-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-05-05 | 2023-05-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-05 | 2023-05-26 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-05-05 | 2023-05-26 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-05-05 | 2023-05-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-05 | 2023-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-05 | 2023-05-26 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-05-05 | 2023-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-05 | 2023-05-26 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-05-05 | 2023-05-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-05 | 2023-05-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-05-05 | 2023-05-26 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-11-02 | 2022-11-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-09 | 2022-10-10 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-09-09 | 2022-10-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-27 | 2022-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-05 | 2022-02-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-07 | 2021-08-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-06-07 | 2021-08-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-07 | 2021-07-14 | 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 | 2021-06-07 | 2021-07-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-07 | 2021-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-07 | 2021-07-14 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-06-07 | 2021-07-14 | N |
| Dispose of garbage and refuse properly. | Health | 2021-06-07 | 2021-07-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-07 | 2021-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-07 | 2021-07-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-06-07 | 2021-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-07 | 2021-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-07 | 2021-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-07 | 2021-06-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-13 | 2019-08-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-13 | 2019-08-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-13 | 2019-08-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-06-13 | 2019-08-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-13 | 2019-08-12 | 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 | 2019-06-13 | 2019-08-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-13 | 2019-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-13 | 2019-08-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-02 | 2019-08-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-02 | 2019-08-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-02 | 2019-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-02 | 2019-08-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-02 | 2019-08-07 | N |
