Deficiency Records for Moran Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Moran Nursing 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? |
|---|---|---|---|---|
| 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 | 2021-11-19 | 2022-04-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-19 | 2022-04-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2022-04-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-19 | 2022-04-21 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-11-08 | 2019-12-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-08 | 2019-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-08 | 2019-12-31 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-11-08 | 2019-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-08 | 2019-12-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-08 | 2019-12-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-11-08 | 2019-12-31 | N |
| Post nurse staffing information every day. | Health | 2019-11-08 | 2019-12-31 | 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 | 2019-11-08 | 2019-12-31 | 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 | 2019-11-08 | 2019-12-31 | 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 | 2019-11-08 | 2019-12-31 | N |
| Provide or obtain dental services for each resident. | Health | 2019-11-08 | 2019-12-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-08 | 2019-12-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-13 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-23 | 2018-06-27 | 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 | 2018-05-23 | 2018-06-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-05-23 | 2018-06-23 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-05-18 | 2018-06-18 | 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 | 2018-05-18 | 2018-06-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-18 | 2018-06-18 | 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 | 2018-05-18 | 2018-06-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-18 | 2018-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-18 | 2018-06-18 | 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 | 2018-05-18 | 2018-06-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-18 | 2018-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-18 | 2018-06-18 | 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 | 2018-05-18 | 2018-06-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-18 | 2018-06-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-18 | 2018-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-18 | 2018-06-18 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-05-18 | 2018-06-18 | 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 | 2018-05-18 | 2018-06-18 | 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 | 2018-05-18 | 2018-06-18 | N |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-05-18 | 2018-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-18 | 2018-06-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-18 | 2018-06-18 | N |
| Keep all essential equipment working safely. | Health | 2018-05-18 | 2018-06-18 | 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 | 2017-05-02 | 2017-06-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-05-02 | 2017-06-02 | N |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2017-04-28 | 2017-06-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-28 | 2017-06-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-28 | 2017-06-01 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-28 | 2017-06-01 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-28 | 2017-06-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-28 | 2017-06-01 | 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 | 2017-04-28 | 2017-06-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-28 | 2017-06-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-28 | 2017-06-01 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2017-04-28 | 2017-06-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-28 | 2017-06-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-04-28 | 2017-06-01 | N |
