Deficiency Records for Lorien Mays Chapel
Updated as of November 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 |