Deficiency Records for Marshall Health Care and Rehab
Updated as of January 01, 2023
This is not the most recent data for Marshall Health Care and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Marshall Health Care and Rehab. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-20 | 2022-04-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-20 | 2022-04-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-20 | 2022-04-19 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-12-15 | 2022-01-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-15 | 2022-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-15 | 2022-01-16 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-12-15 | 2022-01-16 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-12-15 | 2022-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-15 | 2022-01-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-15 | 2022-01-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-13 | 2021-12-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-13 | 2021-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-13 | 2021-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-30 | 2020-12-20 | 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 | 2020-09-15 | 2020-10-23 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-09-15 | 2020-10-22 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-01-29 | 2020-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-29 | 2020-02-18 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-01-29 | 2020-02-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-29 | 2020-02-18 | 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 | 2018-12-19 | 2019-01-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-12-19 | 2019-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-19 | 2019-01-11 | 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 | 2018-12-19 | 2019-01-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-12-18 | 2019-01-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-18 | 2019-01-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-12-18 | 2019-01-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-12-18 | 2019-01-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-18 | 2019-01-07 | N |
