Deficiency Records for Market Square Health Care Center, LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Market Square Health Care Center, LLC. 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? |
|---|---|---|---|---|
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-02 | 2022-09-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-02 | 2022-09-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-02 | 2022-09-08 | 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 | 2022-08-02 | 2022-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-02 | 2022-09-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-02 | 2022-09-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-03 | 2022-09-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-03 | 2022-09-02 | 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 | 2022-08-03 | 2022-09-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-03 | 2022-09-02 | 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 | 2022-08-03 | 2022-09-02 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-08-03 | 2022-09-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-03 | 2022-09-02 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-08-03 | 2022-09-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-13 | 2020-03-29 | 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 | 2020-02-13 | 2020-03-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-13 | 2020-03-29 | 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 | 2020-02-13 | 2020-03-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-13 | 2020-03-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-03-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-13 | 2020-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-29 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2020-02-13 | 2020-03-17 | 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 | 2020-02-13 | 2020-03-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-13 | 2020-03-17 | 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 | 2020-02-13 | 2020-03-17 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-02-13 | 2020-03-17 | 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 | 2019-02-28 | 2019-04-12 | N |
| Post nurse staffing information every day. | Health | 2019-02-28 | 2019-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-28 | 2019-04-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-26 | 2019-04-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-02-26 | 2019-04-01 | N |
| Develop a communication plan. | Fire Safety | 2019-02-26 | 2019-04-01 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-02-26 | 2019-04-01 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-02-26 | 2019-04-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-26 | 2019-04-01 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-02-26 | 2019-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-26 | 2019-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-26 | 2019-04-01 | N |
