A list of the most recent deficiencies for Milner Community Health Care. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-05 | 2023-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-05 | 2023-09-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-05 | 2023-07-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-07-05 | 2023-07-24 | 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 | 2023-07-05 | 2023-07-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-05 | 2023-07-01 | 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 | 2023-06-05 | 2023-07-01 | 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 | 2023-06-05 | 2023-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-05 | 2023-07-01 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-06-05 | 2023-07-01 | 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 | 2023-06-05 | 2023-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-05 | 2023-07-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Develop a communication plan. | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-06-21 | 2022-08-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-16 | 2022-06-10 | 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 | 2022-05-16 | 2022-06-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-16 | 2022-06-10 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-05-16 | 2022-06-10 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-04 | 2021-06-03 | 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 | 2021-04-26 | 2021-05-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-26 | 2021-05-26 | 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 | 2021-04-26 | 2021-05-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-26 | 2021-05-26 | N |
