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Deficiency Records for Axiom Healthcare of Mount Vernon
View the most recent health deficiencies and inspection results for Axiom Healthcare of Mount Vernon. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Axiom Healthcare of Mount Vernon. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2026-04-07 | 2026-04-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-07 | 2026-04-08 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2026-04-07 | 2026-04-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-07 | 2026-04-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-12-18 | 2026-02-12 | Y |
| 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 | 2024-12-19 | 2025-05-27 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-03-25 | 2025-05-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-19 | 2025-05-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-12-19 | 2025-05-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-03-25 | 2025-05-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-25 | 2025-05-13 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-03-25 | 2025-05-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-25 | 2025-05-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-19 | 2025-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-02 | 2025-04-30 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-04-02 | 2025-04-30 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-03-25 | 2025-04-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-03-25 | 2025-04-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-03-25 | 2025-04-28 | Y |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-03-25 | 2025-04-28 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-03-25 | 2025-04-28 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-03-25 | 2025-04-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-25 | 2025-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-25 | 2025-04-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-19 | 2025-04-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-25 | 2025-04-23 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-03-25 | 2025-04-23 | Y |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2025-03-25 | 2025-04-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-25 | 2025-04-18 | Y |
| Provide training in compliance and ethics. | Health | 2025-03-25 | 2025-04-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-12-19 | 2025-04-18 | 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 | 2025-03-25 | 2025-04-18 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2024-12-19 | 2025-01-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-12-19 | 2025-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-19 | 2025-01-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-12-19 | 2025-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-19 | 2025-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-19 | 2025-01-16 | 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 | 2024-12-19 | 2025-01-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-19 | 2025-01-15 | 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 | 2024-12-19 | 2025-01-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-12-19 | 2025-01-15 | N |
| 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 | 2024-12-19 | 2025-01-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-19 | 2025-01-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-19 | 2025-01-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-12-19 | 2025-01-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-25 | 2024-10-31 | Y |
| 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 | 2024-05-31 | 2024-08-28 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-08-05 | 2024-08-28 | Y |
| 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 | 2024-08-05 | 2024-08-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-31 | 2024-06-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-31 | 2024-06-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-31 | 2024-06-24 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-05-15 | 2024-06-01 | 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 | 2024-05-15 | 2024-05-28 | 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 | 2024-03-12 | 2024-03-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-11 | 2024-01-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-05 | 2024-01-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-05 | 2024-01-16 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-21 | 2023-12-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-21 | 2023-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-21 | 2023-12-11 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-11-21 | 2023-12-11 | 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 | 2023-11-21 | 2023-12-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-21 | 2023-12-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-21 | 2023-12-11 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-21 | 2023-12-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-14 | 2022-11-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-10-14 | 2022-11-04 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-14 | 2022-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-14 | 2022-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-14 | 2022-10-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-14 | 2022-10-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-19 | Not Fixed | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-19 | Not Fixed | N |