Deficiency Records for Nursing and Rehabilitation Center of Melbourne
Updated as of May 01, 2020
This is not the most recent data for Nursing and Rehabilitation Center of Melbourne. For the most recent information, click here.
A list of the most recent deficiencies for Nursing and Rehabilitation Center of Melbourne. 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? |
---|---|---|---|---|
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-23 | 2020-02-24 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-09 | 2019-10-14 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-10 | 2019-05-10 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-04-10 | 2019-05-10 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-04-10 | 2019-05-10 | Y |
Address subsistence needs for staff and patients. | Fire Safety | 2019-01-07 | 2019-02-10 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-07 | 2019-02-10 | 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 | 2019-01-10 | 2019-02-10 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-10 | 2019-02-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-10 | 2019-02-10 | N |
Provide and implement an infection prevention and control program. | Health | 2019-01-10 | 2019-02-10 | 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 | 2018-07-19 | 2018-08-10 | N |
Provide activities to meet all resident's needs. | Health | 2018-07-19 | 2018-08-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-19 | 2018-08-10 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-18 | 2018-08-03 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
Meet other general requirements. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
Have exits that are accessible at all times. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
Establish staff and initial training requirements. | Fire Safety | 2018-01-30 | 2018-03-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-30 | 2018-03-12 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-30 | 2018-03-12 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-01-30 | 2018-03-12 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-02-02 | 2018-03-12 | 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 | 2018-02-02 | 2018-03-12 | N |
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2018-02-02 | 2018-03-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-02 | 2018-03-12 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-02 | 2018-03-12 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-02-02 | 2018-03-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-02 | 2018-03-12 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-02-02 | 2018-03-12 | N |
Provide and implement an infection prevention and control program. | Health | 2018-02-02 | 2018-03-12 | N |
Keep all essential equipment working safely. | Health | 2018-02-02 | 2018-03-12 | N |
Respond appropriately to all alleged violations. | Health | 2017-12-07 | 2017-12-10 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-01 | 2017-07-05 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-01 | 2017-07-05 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-06-01 | 2017-07-05 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-02 | 2017-05-23 | Y |