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 |
