A list of the most recent deficiencies for Mccrite Plaza Health 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-22 | 2023-04-28 | 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 | 2023-03-22 | 2023-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-22 | 2023-04-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-22 | 2023-03-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-02 | 2023-03-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-02 | 2023-03-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-02 | 2023-03-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-02 | 2023-03-06 | Y |
| 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 | 2023-02-02 | 2023-03-06 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-02-02 | 2023-03-06 | Y |
| 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 | 2023-02-02 | 2023-03-06 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-24 | 2021-09-27 | 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 | 2021-08-24 | 2021-09-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-24 | 2021-09-27 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-08-18 | 2021-09-24 | 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 | 2021-08-18 | 2021-09-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-18 | 2021-09-24 | 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 | 2021-08-18 | 2021-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-07 | 2021-06-02 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-11-07 | 2019-12-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-13 | 2019-09-30 | 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 | 2019-08-13 | 2019-09-30 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-13 | 2019-09-30 | 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 | 2019-08-13 | 2019-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-13 | 2019-09-30 | N |
