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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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