Deficiency Records for Majestic Care of Goshen
Updated as of October 01, 2018
This is not the most recent data for Majestic Care of Goshen. For the most recent information, click here.
A list of the most recent deficiencies for Majestic Care of Goshen. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-11-28 | 2018-01-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-28 | 2017-12-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-30 | 2017-11-24 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-30 | 2017-11-24 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-30 | 2017-11-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-30 | 2017-11-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Have an externally vented heating system. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-11-09 | 2017-01-13 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2016-11-09 | 2017-01-13 | 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 | 2016-11-09 | 2016-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-09 | 2016-12-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-10-20 | 2016-11-04 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-20 | 2016-11-04 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-10-20 | 2016-11-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-20 | 2016-11-04 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-09-27 | 2016-09-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-03-30 | 2016-04-06 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-03-30 | 2016-04-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-18 | 2016-04-06 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-18 | 2016-04-06 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-18 | 2016-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-18 | 2016-03-17 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-02 | 2015-10-02 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-09-02 | 2015-10-02 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-09-02 | 2015-10-02 | N |
| Horizontal exits. | Fire Safety | 2015-09-02 | 2015-10-02 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-09-02 | 2015-10-02 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-09-02 | 2015-10-02 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-02 | 2015-10-02 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2015-09-02 | 2015-10-02 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-09-02 | 2015-10-02 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2015-08-26 | 2015-09-25 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2015-08-26 | 2015-09-25 | N |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2015-08-26 | 2015-09-25 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-26 | 2015-09-25 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-08-26 | 2015-09-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-26 | 2015-09-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-08-26 | 2015-09-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-08-26 | 2015-09-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-08-26 | 2015-09-25 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2015-08-26 | 2015-09-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-26 | 2015-09-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-08-26 | 2015-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-26 | 2015-09-25 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-08-26 | 2015-09-25 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2015-08-26 | 2015-09-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-26 | 2015-09-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-08-26 | 2015-09-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-26 | 2015-09-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-08-26 | 2015-09-25 | N |
