A list of the most recent deficiencies for The Moorings at Lewes. 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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-22 | 2023-02-17 | N |
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 | 2022-12-22 | 2023-02-17 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-29 | 2021-09-13 | 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 | 2021-07-29 | 2021-09-13 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-29 | 2021-09-13 | 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 | 2021-07-29 | 2021-09-13 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-07-29 | 2021-09-13 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-07-29 | 2021-09-13 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-21 | 2019-11-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-21 | 2019-11-26 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-10-21 | 2019-11-26 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-21 | 2019-11-26 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-21 | 2019-11-26 | N |
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 | 2019-10-21 | 2019-11-26 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-21 | 2019-11-26 | 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 | 2019-10-21 | 2019-11-26 | N |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-10-21 | 2019-11-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-21 | 2019-11-26 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-21 | 2019-11-26 | N |
Implement a program that monitors antibiotic use. | Health | 2019-10-21 | 2019-11-26 | N |