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Deficiency Records for Majestic Care of Carmel

View the most recent health deficiencies and inspection results for Majestic Care of Carmel. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Majestic Care of Carmel. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-07-28 2026-01-09 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2025-07-28 2026-01-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-07-28 2025-08-20 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2025-07-28 2025-08-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-07-28 2025-08-20 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2025-07-28 2025-08-20 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-07-28 2025-08-20 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2024-07-30 2024-09-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-30 2024-09-03 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-07-30 2024-08-26 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-07-30 2024-08-26 N
Provide and implement an infection prevention and control program. Health 2024-07-30 2024-08-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-30 2024-08-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-30 2024-08-26 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-07-30 2024-08-26 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-15 2023-12-06 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-11-15 2023-12-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-15 2023-12-06 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-11-15 2023-12-06 Y
Install corridor and hallway doors that block smoke. Fire Safety 2023-05-19 2023-08-18 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-19 2023-08-18 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-05-19 2023-08-02 N
Provide family notifications of emergency plan. Fire Safety 2023-05-19 2023-08-02 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-05-19 2023-08-02 N
Install proper backup exit lighting. Fire Safety 2023-05-19 2023-08-02 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 2023-05-19 2023-08-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-19 2023-08-02 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2023-05-19 2023-08-02 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2023-05-19 2023-08-02 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-05-19 2023-06-07 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 2023-05-19 2023-06-07 N
Provide activities to meet all resident's needs. Health 2023-05-19 2023-06-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-19 2023-06-07 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 2023-05-19 2023-06-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-19 2023-06-07 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-05-19 2023-06-07 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 2023-05-19 2023-06-07 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-05-19 2023-06-07 N

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