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Deficiency Records for Maristhill Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Maristhill Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Maristhill Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-11-25 | 2026-01-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-25 | 2025-12-25 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-11-25 | 2025-12-25 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-11-25 | 2025-12-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-25 | 2025-12-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-11-25 | 2025-12-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-25 | 2025-12-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-25 | 2025-12-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-11-25 | 2025-12-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-11-25 | 2025-12-25 | 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 | 2025-11-25 | 2025-12-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-25 | 2025-12-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-25 | 2025-12-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-24 | 2025-04-03 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-10 | 2024-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-10 | 2024-12-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-10 | 2024-12-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-10 | 2024-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-10 | 2024-12-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-10-10 | 2024-12-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-10-10 | 2024-12-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-10-10 | 2024-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-10 | 2024-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-10 | 2024-11-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-10 | 2024-11-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-10 | 2024-11-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-10 | 2024-11-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-10-10 | 2024-11-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-10 | 2024-11-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-10-10 | 2024-11-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-10 | 2024-11-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-10 | 2024-11-24 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-10-10 | 2024-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-10 | 2024-11-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-10 | 2024-11-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-10 | 2024-11-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-04 | 2023-12-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-10-04 | 2023-12-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-04 | 2023-12-09 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-10-04 | 2023-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-12-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-04 | 2023-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-12-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-04 | 2023-12-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-04 | 2023-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-04 | 2023-11-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-04 | 2023-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-04 | 2023-11-18 | 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 | 2023-10-04 | 2023-11-18 | 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 | 2023-10-04 | 2023-11-18 | 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 | 2023-10-04 | 2023-11-18 | 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 | 2023-10-04 | 2023-11-18 | 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 | 2023-10-04 | 2023-11-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-04 | 2023-11-18 | 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 | 2023-10-04 | 2023-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-04 | 2023-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-11-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-04 | 2023-11-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-04 | 2023-11-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-04 | 2023-11-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-04 | 2023-11-18 | N |