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Deficiency Records for Merriam Gardens Healthcare and Rehabilitation Center
View the most recent health deficiencies and inspection results for Merriam Gardens Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Merriam Gardens Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-01-31 | 2025-02-14 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-02 | 2024-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-02 | 2024-11-21 | 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 | 2024-10-02 | 2024-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-02 | 2024-11-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-02 | 2024-11-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-02 | 2024-11-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-10-02 | 2024-11-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-10-02 | 2024-11-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-02 | 2024-11-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-02 | 2024-11-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-02 | 2024-11-20 | 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 | 2024-10-02 | 2024-11-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-02 | 2024-11-20 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-10-02 | 2024-11-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-02 | 2024-11-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-02 | 2024-11-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-10-02 | 2024-11-04 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-10-02 | 2024-11-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-02 | 2024-11-04 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-02 | 2024-11-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-10-02 | 2024-11-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-10-02 | 2024-11-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-02 | 2024-11-04 | 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 | 2024-10-02 | 2024-11-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-02 | 2024-11-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-10-02 | 2024-11-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-02 | 2024-11-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-10-02 | 2024-11-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-02 | 2024-11-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-10-02 | 2024-11-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-10-02 | 2024-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-02 | 2024-11-04 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-10-02 | 2024-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-02 | 2024-11-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-02 | 2024-11-04 | N |
| Keep all essential equipment working safely. | Health | 2024-10-02 | 2024-11-04 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-10-02 | 2024-11-04 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-02-16 | 2023-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-16 | 2023-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-04-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-16 | 2023-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-16 | 2023-04-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-16 | 2023-04-28 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-02-16 | 2023-04-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-02-16 | 2023-04-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-02-16 | 2023-04-28 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-16 | 2023-03-24 | 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 | 2023-02-16 | 2023-03-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-03-24 | 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 | 2023-02-16 | 2023-03-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-16 | 2023-03-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-16 | 2023-03-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-02-16 | 2023-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-16 | 2023-03-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-21 | 2021-08-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-21 | 2021-08-18 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-06-21 | 2021-08-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-21 | 2021-08-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-21 | 2021-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-21 | 2021-08-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-21 | 2021-08-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-21 | 2021-08-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-21 | 2021-08-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-21 | 2021-08-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-21 | 2021-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-21 | 2021-07-22 | 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 | 2021-06-21 | 2021-07-22 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-06-21 | 2021-07-22 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-06-21 | 2021-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-21 | 2021-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-21 | 2021-07-22 | N |