Deficiency Records for Matthews Memorial Health Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Matthews Memorial Health Care 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? |
---|---|---|---|---|
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-25 | 2023-11-20 | Y |
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 | 2023-10-04 | 2023-10-23 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-04 | 2023-10-23 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-10-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-04 | 2023-10-23 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-04 | 2023-10-23 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-04 | 2023-10-23 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-20 | 2023-05-08 | 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 | 2023-04-20 | 2023-05-08 | Y |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-02-08 | 2023-03-15 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-08 | 2023-03-15 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-05 | 2022-11-11 | 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 | 2022-10-05 | 2022-11-11 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-05 | 2022-11-11 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-05 | 2022-11-11 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-05 | 2022-11-11 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-05 | 2022-11-11 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-05 | 2022-11-11 | 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 | 2022-10-05 | 2022-11-11 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-05-20 | 2022-06-10 | Y |
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 | 2022-03-21 | 2022-04-08 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-21 | 2022-04-08 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-03-21 | 2022-04-08 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-17 | 2022-03-07 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-05 | 2022-02-14 | Y |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-01-05 | 2022-02-14 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-05 | 2022-02-14 | Y |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-01-05 | 2022-02-14 | Y |
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 | 2021-10-01 | 2021-11-08 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-10-01 | 2021-11-08 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-10-01 | 2021-11-08 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-01 | 2021-11-08 | 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 | 2021-10-01 | 2021-11-08 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-10-01 | 2021-11-08 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-01 | 2021-11-08 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-01 | 2021-11-08 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-01 | 2021-11-08 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-01 | 2021-11-08 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-10-01 | 2021-11-08 | N |
Provide and implement an infection prevention and control program. | Health | 2021-10-01 | 2021-11-08 | N |
Perform COVID19 testing on residents and staff. | Health | 2021-10-01 | 2021-11-08 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2021-10-01 | 2021-11-08 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-08-19 | 2021-09-24 | Y |
Respond appropriately to all alleged violations. | Health | 2023-08-07 | Not Fixed | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-07 | Not Fixed | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-07 | Not Fixed | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-07 | Not Fixed | 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 | 2023-08-07 | Not Fixed | Y |