Deficiency Records for Palm Terrace of Mattoon
Updated as of September 01, 2019
This is not the most recent data for Palm Terrace of Mattoon. For the most recent information, click here.
A list of the most recent deficiencies for Palm Terrace of Mattoon. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-28 | 2019-07-11 | 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 | 2019-06-28 | 2019-07-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-28 | 2019-07-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-28 | 2019-07-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-06-28 | 2019-07-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-17 | 2019-04-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-17 | 2019-04-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-17 | 2019-04-26 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-03-04 | 2019-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-04 | 2019-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-04 | 2019-04-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-04 | 2019-04-01 | N |
| Be properly staffed | Fire Safety | 2019-03-04 | 2019-04-01 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-03-06 | 2019-03-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-06 | 2019-03-27 | 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 | 2019-03-06 | 2019-03-27 | 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 | 2019-03-06 | 2019-03-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-03-06 | 2019-03-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-06 | 2019-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-06 | 2019-03-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-06 | 2019-03-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-06 | 2019-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-06 | 2019-03-27 | N |
| 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 | 2019-03-06 | 2019-03-27 | N |
| 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 | Health | 2019-03-06 | 2019-03-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-06 | 2019-03-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-06 | 2019-03-27 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-03-06 | 2019-03-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-03-06 | 2019-03-27 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-03-06 | 2019-03-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-03-06 | 2019-03-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-02-27 | 2019-03-13 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-02-27 | 2019-03-13 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-08-29 | 2018-09-18 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2018-02-21 | 2018-05-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-23 | 2018-03-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-02-23 | 2018-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-23 | 2018-03-21 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2018-02-21 | 2018-03-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-21 | 2018-03-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-23 | 2018-03-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-02-21 | 2018-03-13 | 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 | 2018-02-21 | 2018-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-21 | 2018-02-26 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-02-21 | 2018-02-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-21 | 2018-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-21 | 2018-02-21 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-09-14 | 2017-10-02 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2017-08-08 | 2017-09-19 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2017-08-08 | 2017-09-14 | Y |
| Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2017-08-08 | 2017-09-14 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-08 | 2017-08-31 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-01-26 | 2017-02-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-01-31 | 2017-02-10 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-01-26 | 2017-02-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-26 | 2017-02-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-01-26 | 2017-02-10 | N |
| Provide residents with private access to a telephone. | Health | 2017-01-26 | 2017-02-10 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-01-26 | 2017-02-10 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-26 | 2017-02-10 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-26 | 2017-02-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-26 | 2017-02-10 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-26 | 2017-02-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-26 | 2017-02-10 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-01-26 | 2017-02-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-26 | 2017-02-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-26 | 2017-02-10 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-01-31 | 2017-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-31 | 2017-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-31 | 2017-02-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-01-31 | 2017-02-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-01-31 | 2017-02-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-01-31 | 2017-02-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-01-26 | 2017-01-26 | N |
