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Deficiency Records for Marlborough Hills Rehabilitation and Health Care Cen
View the most recent health deficiencies and inspection results for Marlborough Hills Rehabilitation and Health Care Cen. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Marlborough Hills Rehabilitation and Health Care Cen. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-10-14 | 2025-09-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-21 | 2025-06-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-21 | 2025-06-06 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-05-21 | 2025-06-06 | Y |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2025-03-11 | 2025-05-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-11 | 2025-04-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-11 | 2025-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-11 | 2025-04-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-03-11 | 2025-04-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-11 | 2025-04-28 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2025-03-11 | 2025-04-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-03-11 | 2025-04-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-11 | 2025-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-11 | 2025-04-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-03-11 | 2025-04-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-19 | 2025-04-14 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-03-19 | 2025-04-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-11 | 2025-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-11 | 2025-04-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-11 | 2025-04-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-03-11 | 2025-04-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-11 | 2025-04-03 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-03-11 | 2025-04-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-11 | 2025-04-03 | 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 | 2025-03-11 | 2025-04-03 | N |
| Post nurse staffing information every day. | Health | 2025-03-11 | 2025-04-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-11 | 2025-04-03 | 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 (including nights and weekends) and emergencies. | Health | 2025-03-11 | 2025-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-11 | 2025-04-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-03-11 | 2025-04-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-28 | 2024-03-14 | Y |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2023-12-22 | 2024-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-22 | 2024-01-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-22 | 2024-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-22 | 2024-01-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-22 | 2024-01-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-22 | 2024-01-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-22 | 2024-01-18 | 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 | 2023-12-22 | 2024-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-22 | 2024-01-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-22 | 2024-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-22 | 2024-01-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-12-22 | 2024-01-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-12-22 | 2024-01-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-22 | 2024-01-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-22 | 2024-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-22 | 2024-01-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-22 | 2024-01-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-12-22 | 2024-01-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-30 | 2024-01-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-30 | 2024-01-12 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-22 | 2024-01-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-22 | 2024-01-09 | N |
| Develop a communication plan. | Fire Safety | 2023-12-22 | 2024-01-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-12-22 | 2024-01-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-05 | 2022-12-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-05 | 2022-12-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-05 | 2022-12-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-05 | 2022-12-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-05 | 2022-12-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-05 | 2022-12-26 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2022-12-05 | 2022-12-19 | N |