Deficiency Records for Community Extended Care Hospital of Montclair
Updated as of April 01, 2024
A list of the most recent deficiencies for Community Extended Care Hospital of Montclair. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-20 | 2023-06-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-27 | 2023-05-04 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-22 | 2023-03-10 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-22 | 2023-03-10 | 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 | 2023-02-22 | 2023-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-22 | 2023-03-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-22 | 2023-03-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-22 | 2023-03-10 | 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 | 2023-02-10 | 2023-03-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-10 | 2023-03-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-10 | 2023-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-03-09 | 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 | 2023-02-10 | 2023-03-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-10 | 2023-03-09 | 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 | 2023-02-10 | 2023-03-09 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-02-10 | 2023-03-09 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-02-10 | 2023-03-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-03-09 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-10 | 2023-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-16 | 2022-03-30 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-22 | 2019-12-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-22 | 2019-12-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-22 | 2019-12-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-22 | 2019-12-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-03 | 2019-10-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-10-03 | 2019-10-21 | 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 | 2019-10-03 | 2019-10-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-03 | 2019-10-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-10-03 | 2019-10-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-03 | 2019-02-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-01-03 | 2019-02-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-03 | 2019-02-20 | N |
| Use approved construction type or materials. | Fire Safety | 2019-01-03 | 2019-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-03 | 2019-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-03 | 2019-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-03 | 2019-02-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-09 | 2018-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-09 | 2018-11-29 | N |
| Have policies on smoking. | Health | 2018-11-09 | 2018-11-29 | N |
