Deficiency Records for Montowese Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Montowese Health and Rehabilitation 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-07 | 2023-07-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-07 | 2023-07-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-07 | 2023-05-19 | Y |
| 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 | 2022-08-16 | 2022-09-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-16 | 2022-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-16 | 2022-09-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-16 | 2022-09-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-16 | 2022-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-16 | 2022-09-16 | 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 | 2022-08-16 | 2022-09-16 | 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 | 2022-08-16 | 2022-09-16 | 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 | 2022-08-16 | 2022-09-16 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2022-08-16 | 2022-09-16 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-08-16 | 2022-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-16 | 2022-09-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-16 | 2022-08-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-22 | 2022-07-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-22 | 2022-07-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-22 | 2022-07-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-22 | 2022-07-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-14 | 2022-02-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-14 | 2022-02-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-22 | 2021-04-30 | Y |
| 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 | 2021-04-22 | 2021-04-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-04-30 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-05 | 2021-02-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-05 | 2021-02-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-05 | 2021-02-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-03-05 | 2021-02-16 | 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 | 2020-03-06 | 2020-08-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-06 | 2020-08-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-06 | 2020-08-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-06 | 2020-08-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-06 | 2020-08-10 | N |
| Provide appropriate foot care. | Health | 2020-03-06 | 2020-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-06 | 2020-08-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-06 | 2020-08-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-03-06 | 2020-08-10 | N |
| Provide or obtain dental services for each resident. | Health | 2020-03-06 | 2020-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-06 | 2020-08-10 | N |
| Dispose of garbage and refuse properly. | Health | 2020-03-06 | 2020-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-06 | 2020-08-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-06 | 2020-07-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-06 | 2020-07-03 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-17 | 2019-04-03 | 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 | 2019-01-17 | 2019-02-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-17 | 2019-02-20 | 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 | 2019-01-17 | 2019-02-20 | 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 | 2019-01-17 | 2019-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-17 | 2019-02-20 | N |
