A list of the most recent deficiencies for Montgomery Village Care 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 | 2021-01-28 | 2021-02-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-01-28 | 2021-02-17 | 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 | 2021-01-27 | 2021-01-28 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-01-27 | 2021-01-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-08 | 2019-08-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-08 | 2019-08-03 | N |
| Meet other general requirements. | Fire Safety | 2019-07-08 | 2019-07-30 | 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 | 2019-07-08 | 2019-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-08 | 2019-07-30 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-08 | 2019-07-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-29 | 2019-06-12 | 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 | 2019-04-29 | 2019-06-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-29 | 2019-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-29 | 2019-06-12 | 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 | 2019-04-29 | 2019-06-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-29 | 2019-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-29 | 2019-06-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-29 | 2019-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-29 | 2019-06-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-29 | 2019-06-12 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-04-29 | 2019-06-12 | 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 | 2019-04-29 | 2019-06-12 | 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 | 2019-04-29 | 2019-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-29 | 2019-06-12 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2019-04-29 | 2019-06-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-04-29 | 2019-06-12 | 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 | 2018-04-30 | 2018-06-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-04-30 | 2018-06-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-30 | 2018-06-08 | 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 | 2018-04-30 | 2018-06-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-04-30 | 2018-06-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-30 | 2018-06-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-30 | 2018-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-30 | 2018-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-30 | 2018-06-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-30 | 2018-06-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-04-30 | 2018-06-08 | 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 | 2018-04-30 | 2018-06-08 | 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 | 2018-04-30 | 2018-06-08 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-04-30 | 2018-06-08 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2018-04-30 | 2018-06-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-04-30 | 2018-06-08 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-04-30 | 2018-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-30 | 2018-06-08 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-04-30 | 2018-06-08 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-08 | 2018-05-25 | 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 | 2018-05-08 | 2018-05-25 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-05-08 | 2018-05-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-08 | 2018-05-25 | N |
