Deficiency Records for Mayfield Care and Rehab
Updated as of May 01, 2024
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Deficiency Records for Mayfield Care and Rehab
A list of the most recent deficiencies for Mayfield Care and Rehab. 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 Mayfield Care and Rehab. 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 | 2024-03-22 | 2024-04-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-22 | 2024-04-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-22 | 2024-04-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-22 | 2024-04-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-22 | 2024-04-19 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-22 | 2024-04-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-22 | 2024-04-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-22 | 2024-04-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-22 | 2024-04-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-22 | 2024-04-19 | 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 | 2024-03-22 | 2024-04-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-03-22 | 2024-04-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-22 | 2024-04-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-22 | 2024-04-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-22 | 2024-04-19 | 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 | 2024-03-22 | 2024-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-22 | 2024-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-22 | 2024-04-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-22 | 2024-04-19 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-03-22 | 2024-04-19 | 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 | 2024-03-22 | 2024-04-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-14 | 2024-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-14 | 2024-04-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-29 | 2024-03-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-19 | 2024-02-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-19 | 2024-02-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-19 | 2024-02-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-28 | 2023-12-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-11 | 2023-09-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-22 | 2023-09-08 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-08-22 | 2023-09-08 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-22 | 2023-09-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-06 | 2023-08-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-07 | 2023-04-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-07 | 2023-04-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-07 | 2023-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-07 | 2023-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-07 | 2023-04-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-04-07 | 2023-04-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-07 | 2023-04-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-07 | 2023-04-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-07 | 2023-04-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-07 | 2023-04-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-07 | 2023-04-23 | 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 | 2023-04-07 | 2023-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-07 | 2023-04-23 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-07 | 2023-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-07 | 2023-04-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-07 | 2023-04-23 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-04-07 | 2023-04-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-07 | 2023-04-23 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-07 | 2023-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-12 | 2023-03-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-18 | 2023-01-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-18 | 2023-01-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-18 | 2023-01-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-06 | 2022-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-10-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-22 | 2022-10-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-19 | 2022-09-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-19 | 2022-09-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-19 | 2022-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-19 | 2022-09-08 | 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 | 2022-08-19 | 2022-09-08 | 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 | 2022-08-19 | 2022-09-08 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-19 | 2022-09-08 | 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 | 2022-08-19 | 2022-09-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-19 | 2022-09-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-19 | 2022-09-05 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-12 | 2022-05-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-12 | 2022-05-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-12 | 2022-05-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-12 | 2022-05-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-12 | 2022-05-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-12 | 2022-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-05-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-05-12 | 2022-05-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-12 | 2022-05-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-25 | 2022-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-31 | 2022-04-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-23 | 2022-04-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-23 | 2022-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-23 | 2022-04-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-28 | 2022-02-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-28 | 2022-02-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-28 | 2022-02-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-28 | 2022-02-25 | 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 | 2022-01-28 | 2022-02-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-28 | 2022-02-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-28 | 2022-02-25 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-01-28 | 2022-02-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-28 | 2022-02-25 | Y |
| Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | Health | 2021-12-23 | 2021-12-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-23 | 2021-12-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-23 | 2021-12-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-09 | 2021-12-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-20 | 2021-07-29 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-05-21 | 2021-06-11 | N |
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