A list of the most recent deficiencies for Mercyone Centerville Medical Center. 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? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-12 | 2023-01-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-12 | 2023-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-12 | 2023-01-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-12 | 2023-01-18 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2020-09-10 | 2020-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-14 | 2020-10-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-10 | 2020-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-10 | 2020-10-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-27 | 2019-07-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-27 | 2019-07-22 | 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 | 2019-06-27 | 2019-07-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-07-01 | 2019-07-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-01 | 2019-07-11 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-07-01 | 2019-07-11 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-07-01 | 2019-07-11 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-01 | 2019-07-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-01 | 2019-07-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-01 | 2019-07-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-01 | 2019-07-10 | N |
