A list of the most recent deficiencies for Mercy Circle. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-26 | 2024-02-14 | 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 | 2024-01-26 | 2024-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-02-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-24 | 2024-02-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-05 | 2023-08-19 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-29 | 2023-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-29 | 2023-04-17 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-03-31 | 2023-04-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-31 | 2023-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-31 | 2023-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-31 | 2023-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-31 | 2023-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-31 | 2023-04-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-03-31 | 2023-04-15 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-31 | 2023-04-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-08 | 2022-06-23 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-06-08 | 2022-06-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-08 | 2022-06-23 | 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 | 2022-06-08 | 2022-06-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-08 | 2022-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-08 | 2022-06-23 | 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 | 2022-05-27 | 2022-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-27 | 2022-06-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-27 | 2022-06-11 | 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 | 2022-05-27 | 2022-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-27 | 2022-06-11 | N |
| Dispose of garbage and refuse properly. | Health | 2022-05-27 | 2022-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-27 | 2022-06-11 | N |
