Deficiency Records for Mayflower Place Nursing and Rehabilitation Center
Updated as of August 01, 2023
This is not the most recent data for Mayflower Place Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Mayflower Place Nursing and Rehabilitation Center. 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? |
---|---|---|---|---|
Keep residents' personal and medical records private and confidential. | Health | 2021-07-22 | 2021-08-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-22 | 2021-08-10 | N |
Provide and implement an infection prevention and control program. | Health | 2021-07-22 | 2021-08-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-16 | 2020-02-28 | 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 | 2020-01-16 | 2020-02-28 | 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 | 2020-01-16 | 2020-02-28 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-01 | 2019-06-15 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-01 | 2019-06-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-01 | 2019-06-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-01 | 2019-06-15 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-01 | 2019-06-15 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-27 | 2019-05-11 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-03-27 | 2019-05-11 | N |
Establish staff and initial training requirements. | Fire Safety | 2018-01-31 | 2018-03-06 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-01-31 | 2018-03-06 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-31 | 2018-03-06 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-01-31 | 2018-03-06 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-01-31 | 2018-03-06 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-01-31 | 2018-03-06 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-01-31 | 2018-03-06 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-24 | 2018-03-01 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-24 | 2018-03-01 | N |
Respond appropriately to all alleged violations. | Health | 2018-01-24 | 2018-03-01 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-24 | 2018-03-01 | 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 | 2018-01-24 | 2018-03-01 | 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 | 2018-01-24 | 2018-03-01 | N |
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2018-01-24 | 2018-03-01 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-01-24 | 2018-03-01 | N |