CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Marshall Health Care and Rehab
View the most recent health deficiencies and inspection results for Marshall Health Care and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Marshall Health Care and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-19 | 2025-09-03 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-26 | 2025-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-26 | 2025-08-01 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-06-26 | 2025-07-21 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-06-26 | 2025-07-21 | 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 | 2025-06-26 | 2025-07-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-26 | 2025-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-26 | 2025-07-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-26 | 2025-07-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-26 | 2025-07-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-06-12 | 2024-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-12 | 2024-08-27 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-06-12 | 2024-08-27 | 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 | 2024-06-12 | 2024-07-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-12 | 2024-07-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-12 | 2024-07-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-12 | 2024-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-12 | 2024-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-12 | 2024-07-01 | 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 | 2024-06-12 | 2024-07-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-12 | 2024-07-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-12 | 2024-07-01 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-06-12 | 2024-07-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-12 | 2024-07-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-23 | 2024-05-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-05 | 2023-05-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-05 | 2023-05-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-04-05 | 2023-05-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-05 | 2023-05-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-05 | 2023-05-05 | 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 | 2023-04-05 | 2023-05-05 | 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 | 2023-04-05 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-05 | 2023-05-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-05 | 2023-05-03 | 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 | 2023-04-05 | 2023-05-03 | 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 | 2023-04-05 | 2023-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-05 | 2023-05-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-05 | 2023-05-03 | N |