A list of the most recent deficiencies for Montgomery Nursing and Rehab Ctr. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-26 | 2023-10-05 | Y |
| 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 | 2023-09-26 | 2023-10-05 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-02-16 | 2023-03-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-02-16 | 2023-03-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-16 | 2023-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-15 | 2023-03-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-15 | 2023-03-01 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-02-15 | 2023-03-01 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-02-15 | 2023-03-01 | Y |
| 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 | 2023-02-15 | 2023-03-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-15 | 2023-02-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Develop a communication plan. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Establish methods for sharing information. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-01-19 | 2022-02-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-19 | 2022-02-05 | 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 | 2022-01-13 | 2022-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-28 | 2021-12-29 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-22 | 2020-02-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-22 | 2020-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-22 | 2020-02-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-22 | 2020-02-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-21 | 2020-02-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-21 | 2020-02-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-01-21 | 2020-02-07 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-01-21 | 2020-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-21 | 2020-01-31 | N |
