Deficiency Records for Lorien Mays Chapel
Updated as of October 01, 2018
This is not the most recent data for Lorien Mays Chapel. For the most recent information, click here.
A list of the most recent deficiencies for Lorien Mays Chapel. 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? |
---|---|---|---|---|
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-05 | 2018-08-09 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-08-04 | 2017-09-06 | Y |
Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-08-04 | 2017-09-06 | Y |
Meet other general requirements. | Fire Safety | 2017-05-22 | 2017-07-03 | 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 | 2017-05-22 | 2017-07-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-22 | 2017-07-03 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-22 | 2017-07-03 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-05-22 | 2017-07-03 | N |
Meet other general requirements that are deficient. | Fire Safety | 2017-05-22 | 2017-07-03 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-05-22 | 2017-07-03 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-12 | 2017-06-19 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-12 | 2017-06-19 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-12 | 2017-06-19 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-24 | 2017-03-15 | Y |
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-06-09 | 2016-07-01 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-09 | 2016-07-01 | N |
Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-06-09 | 2016-07-01 | N |
Properly protected cooking facilities. | Fire Safety | 2016-06-09 | 2016-07-01 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-05-27 | 2016-07-01 | 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 | 2016-05-27 | 2016-07-01 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-05-27 | 2016-07-01 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-27 | 2016-07-01 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-03-18 | 2015-04-17 | N |
Properly constructed piped-in oxygen systems. | Fire Safety | 2015-03-18 | 2015-04-17 | N |
Have other fire safety features required by fire safety codes. | Fire Safety | 2015-03-18 | 2015-04-17 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2015-03-18 | 2015-04-17 | N |
Tell 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 | 2015-03-04 | 2015-04-08 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-03-04 | 2015-04-08 | 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 | 2015-03-04 | 2015-04-08 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2015-03-04 | 2015-04-08 | 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 | 2015-03-04 | 2015-04-08 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-03-04 | 2015-04-08 | N |