Deficiency Records for Nursing and Rehabilitation Center of Melbourne
Updated as of June 01, 2022
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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-31 | 2022-03-04 | 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 | 2022-02-03 | 2022-03-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-03 | 2022-03-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-03 | 2022-03-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-03 | 2022-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-03 | 2022-03-03 | 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 | 2022-02-03 | 2022-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-03 | 2022-03-03 | 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 | 2022-02-03 | 2022-03-03 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-02-03 | 2022-03-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-03 | 2022-03-03 | 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 | 2022-02-03 | 2022-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-24 | 2021-05-14 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-10-08 | 2020-10-31 | 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 | 2020-10-08 | 2020-10-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-10-08 | 2020-10-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-08 | 2020-10-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-08 | 2020-10-31 | N |
| Post nurse staffing information every day. | Health | 2020-10-08 | 2020-10-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-10-08 | 2020-10-31 | 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 | 2020-10-08 | 2020-10-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-10-06 | 2020-10-31 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-10-06 | 2020-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-06 | 2020-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-06 | 2020-10-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-10-06 | 2020-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-06 | 2020-10-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-10-06 | 2020-10-31 | N |
| 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 |
| 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 |
| 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 |
