A list of the most recent deficiencies for Moosehaven. 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 safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-01 | 2022-10-01 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-02-25 | 2021-03-25 | 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 | 2021-02-25 | 2021-03-25 | 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 | 2021-02-25 | 2021-03-25 | N |
| Provide or obtain dental services for each resident. | Health | 2021-02-25 | 2021-03-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-02-23 | 2021-03-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-02-23 | 2021-03-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-23 | 2021-03-25 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-02-21 | 2019-05-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-21 | 2019-05-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-21 | 2019-05-07 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-02-21 | 2019-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-21 | 2019-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-21 | 2019-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-21 | 2019-05-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-19 | 2019-04-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-19 | 2019-04-02 | N |
