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Deficiency Records for Mayflower Place Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Mayflower Place Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mayflower Place Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-14 | 2026-01-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-14 | 2026-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-14 | 2025-12-06 | 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 | 2025-11-14 | 2025-12-06 | N |
| Post nurse staffing information every day. | Health | 2025-11-14 | 2025-12-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-14 | 2025-12-06 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-11-14 | 2025-12-06 | 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 | 2025-11-14 | 2025-12-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-12 | 2024-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-12 | 2024-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-12 | 2024-11-08 | N |
| Develop a communication plan. | Fire Safety | 2024-08-12 | 2024-10-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-08-12 | 2024-10-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-08-12 | 2024-10-25 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-08-12 | 2024-10-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-12 | 2024-10-25 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-08-12 | 2024-10-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-08-12 | 2024-10-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-08-12 | 2024-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-12 | 2024-10-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-12 | 2024-09-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-08-12 | 2024-09-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-08-12 | 2024-09-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-12 | 2024-09-13 | 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 | 2024-08-12 | 2024-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-12 | 2024-09-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-12 | 2024-09-13 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-08-12 | 2024-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-12 | 2024-09-13 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-08-12 | 2024-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-12 | 2024-09-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-12 | 2024-09-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-12 | 2024-09-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-12 | 2024-09-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-12 | 2024-09-06 | 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 | 2024-08-12 | 2024-09-06 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-12 | 2024-09-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-12 | 2024-07-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-14 | 2023-12-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-14 | 2023-12-25 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-15 | 2023-08-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-15 | 2023-08-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-15 | 2023-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-15 | 2023-08-18 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-06-15 | 2023-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-08-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-15 | 2023-08-11 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-06-15 | 2023-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-15 | 2023-08-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-15 | 2023-08-11 | 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 | 2023-06-15 | 2023-08-11 | 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 | 2023-06-15 | 2023-08-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-15 | 2023-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-08-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-15 | 2023-08-11 | N |
| Notify 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 | 2023-06-15 | 2023-08-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-15 | 2023-08-11 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-15 | 2023-08-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-15 | 2023-08-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-15 | 2023-08-11 | 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 | 2023-06-15 | 2023-08-11 | N |