A list of the most recent deficiencies for Montgomery Place Nursing 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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-04-10 | 2023-05-05 | 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 | 2023-04-10 | 2023-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-10 | 2023-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-10 | 2023-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-10 | 2023-05-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-10 | 2023-05-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-10 | 2023-05-05 | 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 | 2023-03-08 | 2023-03-17 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-03-08 | 2023-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-08 | 2023-03-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-08 | 2023-03-17 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-08 | 2023-03-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-08 | 2023-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-08 | 2023-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-03-17 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-03-08 | 2023-03-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-01 | 2021-12-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-01 | 2021-12-01 | 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 | 2020-02-12 | 2020-03-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-12 | 2020-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-12 | 2020-03-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-12 | 2020-03-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-12 | 2020-03-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-12 | 2020-03-13 | 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 | 2020-02-12 | 2020-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-12 | 2020-03-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-12 | 2020-03-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Use approved construction type or materials. | Fire Safety | 2019-12-05 | 2020-01-03 | 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 | 2019-12-05 | 2020-01-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
