Deficiency Records for Marley Neck Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Marley Neck Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-02 | 2022-07-28 | 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 | 2022-06-02 | 2022-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-02 | 2022-07-28 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-06-02 | 2022-07-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-02 | 2022-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-02 | 2022-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-02 | 2022-07-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-06-02 | 2022-07-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-02 | 2022-07-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-02 | 2022-07-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-02 | 2022-07-28 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-06-02 | 2022-07-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-27 | 2022-07-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-27 | 2022-07-08 | 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 | 2022-05-27 | 2022-07-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-27 | 2022-07-08 | 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 | 2022-05-27 | 2022-07-08 | 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 | 2022-05-27 | 2022-07-08 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-27 | 2022-07-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-27 | 2022-07-08 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-05-27 | 2022-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-27 | 2022-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-27 | 2022-07-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-27 | 2022-07-08 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-10-16 | 2018-12-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-10-16 | 2018-12-20 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-10-16 | 2018-12-20 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-10-16 | 2018-12-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-16 | 2018-12-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-16 | 2018-12-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-16 | 2018-12-20 | 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 | 2018-10-16 | 2018-12-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-10-16 | 2018-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-16 | 2018-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-16 | 2018-12-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-16 | 2018-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-16 | 2018-12-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-16 | 2018-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-16 | 2018-12-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-10-16 | 2018-12-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-16 | 2018-12-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-10-16 | 2018-12-20 | 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 | 2018-10-16 | 2018-12-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-16 | 2018-12-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-16 | 2018-12-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-16 | 2018-12-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-27 | 2018-11-18 | N |
| Provide housekeeping and maintenance services. | Health | 2017-06-23 | 2017-07-25 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-06-23 | 2017-07-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-23 | 2017-07-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-23 | 2017-07-25 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-06-23 | 2017-07-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-23 | 2017-07-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-23 | 2017-07-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-06-23 | 2017-07-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-23 | 2017-07-25 | 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 | 2017-05-24 | 2017-07-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-24 | 2017-07-07 | N |
