A list of the most recent deficiencies for Mercy Home. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-05 | 2023-09-22 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-10 | 2023-09-22 | N |
Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-10 | 2023-09-22 | N |
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2023-08-10 | 2023-09-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-10 | 2023-09-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-10 | 2023-08-29 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-10 | 2023-08-29 | N |
Post nurse staffing information every day. | Health | 2023-08-10 | 2023-08-23 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-10 | 2023-08-23 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-08-07 | 2023-08-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-07 | 2023-08-17 | 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 | 2023-08-10 | 2023-08-16 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-23 | 2022-09-29 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-05-18 | 2022-06-24 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-18 | 2022-06-24 | 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 | 2022-05-16 | 2022-05-27 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-05-16 | 2022-05-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-16 | 2022-05-27 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-22 | 2021-05-30 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-22 | 2021-05-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-22 | 2021-05-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-22 | 2021-05-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-05-30 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-20 | 2021-04-30 | 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 | 2021-04-20 | 2021-04-30 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-20 | 2021-04-30 | 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 | 2021-04-20 | 2021-04-30 | N |
Construct fire resistant interior walls. | Fire Safety | 2021-04-20 | 2021-04-30 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-04-20 | 2021-04-30 | N |