Deficiency Records for Lorien Mays Chapel
Updated as of September 01, 2019
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-23 | 2018-11-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-23 | 2018-11-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-23 | 2018-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-23 | 2018-11-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-23 | 2018-11-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-23 | 2018-11-01 | N |
| Provide or obtain dental services for each resident. | Health | 2018-08-23 | 2018-11-01 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-08-23 | 2018-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-23 | 2018-11-01 | N |
| Meet other general requirements. | Fire Safety | 2018-09-06 | 2018-09-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-06 | 2018-09-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-09-06 | 2018-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-06 | 2018-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-06 | 2018-09-30 | N |
| 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 |
