A list of the most recent deficiencies for Miller Memorial Community. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-10 | 2023-09-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-10 | 2023-09-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-21 | 2023-06-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-17 | 2022-12-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-10-17 | 2022-12-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-17 | 2022-12-22 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-10-17 | 2022-12-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-17 | 2022-12-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-17 | 2022-12-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-17 | 2022-12-22 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-10-17 | 2022-12-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-17 | 2022-12-22 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-10-17 | 2022-12-22 | 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 | 2022-10-17 | 2022-12-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-10-17 | 2022-12-22 | 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 | 2022-10-17 | 2022-12-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-17 | 2022-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-17 | 2022-12-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-17 | 2022-12-22 | N |
| Keep all essential equipment working safely. | Health | 2022-10-17 | 2022-12-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-12 | 2022-11-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-10-12 | 2022-11-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-12 | 2022-11-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-12 | 2022-11-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-12 | 2022-11-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-12 | 2022-11-25 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-10-12 | 2022-11-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-24 | 2022-04-28 | Y |
| 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 | 2022-03-24 | 2022-04-28 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-16 | 2020-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-16 | 2020-02-13 | 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 | 2019-12-18 | 2020-01-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-18 | 2020-01-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-21 | 2019-01-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-11-21 | 2019-01-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-11-21 | 2019-01-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-11-21 | 2019-01-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-21 | 2019-01-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-11-21 | 2019-01-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-21 | 2019-01-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-21 | 2019-01-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-21 | 2019-01-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-20 | 2018-12-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-20 | 2018-12-31 | 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 | 2018-11-20 | 2018-12-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-11-20 | 2018-12-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-11-20 | 2018-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-20 | 2018-12-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-20 | 2018-12-31 | 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 | 2018-11-20 | 2018-12-31 | 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 | 2018-11-20 | 2018-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-20 | 2018-12-31 | N |
