A list of the most recent deficiencies for Mercer Manor Rehabilitation. 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? |
---|---|---|---|---|
Implement a program that monitors antibiotic use. | Health | 2024-03-08 | 2024-03-11 | 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 | 2024-03-08 | 2024-03-09 | 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 | 2024-03-08 | 2024-03-09 | N |
Have exits that are accessible at all times. | Fire Safety | 2024-03-06 | 2024-03-07 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-06 | 2024-03-07 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-06 | 2024-03-07 | 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 | 2022-11-18 | 2022-12-27 | 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 | 2022-12-07 | 2022-12-20 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-07 | 2022-12-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-18 | 2022-12-05 | 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 | 2022-11-18 | 2022-12-05 | N |
Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-05 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-01 | 2022-02-18 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-10 | 2021-11-22 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-10 | 2021-11-22 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-15 | 2021-11-18 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-15 | 2021-11-18 | 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 | 2021-10-15 | 2021-11-18 | N |
Provide and implement an infection prevention and control program. | Health | 2021-10-15 | 2021-11-18 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-15 | 2021-11-18 | Y |
Provide emergency officials' contact information. | Fire Safety | 2021-10-27 | 2021-10-28 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-10-27 | 2021-10-28 | 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 | 2021-10-15 | 2021-10-25 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-15 | 2021-10-25 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-15 | 2021-10-25 | N |
Respond appropriately to all alleged violations. | Health | 2021-10-15 | 2021-10-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-15 | 2021-10-25 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-22 | 2021-04-22 | Y |