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Deficiency Records for Mount Vernon Countryside Manor

A list of the most recent deficiencies for Mount Vernon Countryside Manor. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Mount Vernon Countryside Manor. 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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-27 2024-08-27 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-13 2024-07-03 Y
Respond appropriately to all alleged violations. Health 2024-06-13 2024-07-03 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-05 2024-03-29 N
Establish roles under a Waiver declared by secretary. Fire Safety 2024-03-05 2024-03-22 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2024-03-05 2024-03-22 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-03-05 2024-03-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-03-05 2024-03-22 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-03-01 2024-03-20 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2024-03-01 2024-03-20 N
Ensure the activities program is directed by a qualified professional. Health 2024-03-01 2024-03-19 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-03-01 2024-03-18 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 2024-03-01 2024-03-18 N
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 2024-03-01 2024-03-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-01 2024-03-18 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-03-05 2024-03-16 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-03-05 2024-03-11 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 2024-03-05 2024-03-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-03-05 2024-03-11 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-02-06 2024-02-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-18 2024-02-06 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 2024-01-18 2024-02-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-06 2023-12-18 Y
Implement emergency and standby power systems. Fire Safety 2023-03-06 2023-04-13 N
Establish staff and initial training requirements. Fire Safety 2023-03-06 2023-04-08 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-03-06 2023-04-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-06 2023-04-07 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-03-06 2023-04-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-06 2023-04-07 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-03-06 2023-04-07 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 2023-03-09 2023-03-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-09 2023-03-31 N
Conduct testing and exercise requirements. Fire Safety 2023-03-06 2023-03-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-03 2022-11-03 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 2022-10-05 2022-10-11 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-09-09 2022-09-30 Y
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 2022-08-23 2022-08-23 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-07 2022-06-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-06-07 2022-06-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-07 2022-06-22 N
Provide and implement an infection prevention and control program. Health 2022-06-07 2022-06-22 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 2022-06-07 2022-06-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-01 2022-06-01 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-06-01 2022-06-01 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-06-01 2022-06-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-19 2022-02-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-09 2021-11-29 Y

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