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Deficiency Records for Melrose Healthcare
View the most recent health deficiencies and inspection results for Melrose Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Melrose Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-09 | 2025-05-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-04-09 | 2025-05-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-04-09 | 2025-05-29 | N |
| Use approved construction type or materials. | Fire Safety | 2025-04-09 | 2025-05-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-09 | 2025-05-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-09 | 2025-05-11 | 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 | 2025-04-09 | 2025-05-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-04-09 | 2025-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-09 | 2025-05-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-04-09 | 2025-05-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-09 | 2025-05-06 | 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 | 2025-04-09 | 2025-05-05 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-04-09 | 2025-05-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-09 | 2025-05-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-09 | 2025-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-09 | 2025-05-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-09 | 2025-05-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-09 | 2025-05-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-04-09 | 2025-05-05 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-04-09 | 2025-05-05 | 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 | 2025-04-09 | 2025-05-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-04-09 | 2025-05-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-04-09 | 2025-05-05 | N |
| Provide or obtain dental services for each resident. | Health | 2025-04-09 | 2025-05-05 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-04-09 | 2025-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-09 | 2025-05-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-09 | 2025-05-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-04-09 | 2025-05-05 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-04-09 | 2025-05-05 | 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 | 2025-04-09 | 2025-05-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-04-09 | 2025-05-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-09 | 2025-05-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-09 | 2025-05-05 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-04-03 | 2024-05-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-04-03 | 2024-05-03 | 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 | 2024-04-03 | 2024-05-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-03 | 2024-05-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-03 | 2024-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-03 | 2024-05-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-03 | 2024-05-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-03 | 2024-05-03 | N |
| Provide activities to meet all resident's needs. | Health | 2024-04-03 | 2024-05-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-03 | 2024-05-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-03 | 2024-05-03 | 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 | 2024-04-03 | 2024-05-03 | 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 | 2024-04-03 | 2024-05-03 | 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 | 2024-04-03 | 2024-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-03 | 2024-05-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-03 | 2024-05-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-04-03 | 2024-05-03 | N |
| Use approved construction type or materials. | Fire Safety | 2024-04-03 | 2024-04-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-03 | 2024-04-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-04-03 | 2024-04-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-03 | 2024-04-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-07-26 | 2023-06-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-07 | 2023-03-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-07 | 2023-03-31 | 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 | 2023-02-07 | 2023-03-31 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-02-07 | 2023-03-31 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-07 | 2023-03-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-07 | 2023-03-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-07 | 2023-03-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-02-07 | 2023-03-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-07 | 2023-03-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-02-07 | 2023-03-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-07 | 2023-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-07 | 2023-03-21 | 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 | 2023-02-07 | 2023-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-07 | 2023-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-07 | 2023-03-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-07 | 2023-03-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-07 | 2023-03-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-07 | 2023-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-07 | 2023-03-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-02-07 | 2023-03-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-07 | 2023-03-10 | 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 | 2023-02-07 | 2023-03-10 | 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 | 2023-02-07 | 2023-03-10 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-02-07 | 2023-03-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-07 | 2023-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-07 | 2023-03-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-07 | 2023-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-07 | 2023-03-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-07 | 2023-03-10 | 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 | 2023-02-07 | 2023-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-07 | 2023-03-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-07 | 2023-03-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-02-07 | 2023-03-10 | N |