A list of the most recent deficiencies for Mary Wade Home, Inc. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-15 | 2023-03-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-15 | 2023-03-17 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-02-15 | 2023-03-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-04 | 2023-03-03 | 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 | 2023-01-04 | 2023-02-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-04 | 2023-02-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-01-04 | 2023-02-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-04 | 2023-02-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-01-04 | 2023-02-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-01-04 | 2023-02-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-01-04 | 2023-02-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-04 | 2023-02-10 | 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 | 2023-01-04 | 2023-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-04 | 2023-02-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-04 | 2023-02-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-04 | 2023-02-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-01-04 | 2023-02-10 | 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 | 2023-01-04 | 2023-02-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-01-04 | 2023-02-10 | 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 | 2023-01-04 | 2023-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-04 | 2023-02-10 | N |
| Keep all essential equipment working safely. | Health | 2023-01-04 | 2023-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-17 | 2021-06-21 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-06 | 2020-02-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-06 | 2020-02-24 | 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 | 2018-12-28 | 2019-01-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-12-28 | 2019-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-28 | 2019-01-20 | N |
