A list of the most recent deficiencies for Montcare at Bethesda. 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-06-03 | 2021-07-03 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-12-17 | 2020-02-03 | 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 | 2019-12-17 | 2020-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-25 | 2020-01-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-25 | 2020-01-09 | 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 | 2019-11-25 | 2020-01-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-25 | 2020-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-25 | 2020-01-09 | 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 | 2018-10-23 | 2019-01-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-23 | 2019-01-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-29 | 2018-12-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-29 | 2018-12-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-29 | 2018-12-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-29 | 2018-12-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-29 | 2018-12-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-10-29 | 2018-12-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-10-29 | 2018-12-11 | N |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2018-10-29 | 2018-12-11 | 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 | 2018-10-29 | 2018-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-29 | 2018-12-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-29 | 2018-12-11 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-10-29 | 2018-12-11 | N |
| Meet other general requirements. | Fire Safety | 2017-12-27 | 2018-01-20 | 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 | 2017-12-27 | 2018-01-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-27 | 2018-01-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-13 | 2017-12-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-11-13 | 2017-12-20 | N |
| Give notice to the resident before a room or roommate change. | Health | 2017-11-13 | 2017-12-20 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-11-13 | 2017-12-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-13 | 2017-12-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-11-13 | 2017-12-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-13 | 2017-12-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-11-13 | 2017-12-20 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-11-13 | 2017-12-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-13 | 2017-12-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-13 | 2017-12-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-11-13 | 2017-12-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-13 | 2017-12-20 | N |
