CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Medway Country Manor Skilled Nursing and Rehabilitat
View the most recent health deficiencies and inspection results for Medway Country Manor Skilled Nursing and Rehabilitat. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Medway Country Manor Skilled Nursing and Rehabilitat. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-03-19 | 2026-04-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-03-19 | 2026-04-24 | 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 | 2026-03-19 | 2026-04-24 | 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 | 2026-03-19 | 2026-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-19 | 2026-04-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2026-03-19 | 2026-04-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-19 | 2026-04-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-03-19 | 2026-04-24 | 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 | 2026-03-19 | 2026-04-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-02-05 | 2025-02-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-05 | 2025-02-25 | Y |
| 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 | 2025-01-29 | 2025-02-13 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-01-29 | 2025-02-13 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-01-29 | 2025-02-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-29 | 2025-02-13 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-25 | 2025-01-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-25 | 2025-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-25 | 2025-01-21 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2024-11-25 | 2025-01-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-11-25 | 2025-01-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-11-25 | 2025-01-07 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-11-25 | 2025-01-07 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-11-25 | 2025-01-07 | 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 | 2024-11-25 | 2025-01-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-11-25 | 2025-01-07 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-11-25 | 2025-01-07 | 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 | 2024-11-25 | 2025-01-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-25 | 2025-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-25 | 2025-01-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-11-25 | 2025-01-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-11-25 | 2025-01-07 | 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 | 2024-11-25 | 2025-01-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-25 | 2025-01-07 | 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 | 2024-11-25 | 2025-01-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-11-25 | 2025-01-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-25 | 2025-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-25 | 2025-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-25 | 2025-01-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-02 | 2024-08-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-02 | 2024-08-06 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-02 | 2024-08-06 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-01-09 | 2024-02-13 | Y |
| Have an externally vented heating system. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-10 | 2023-09-30 | 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 | 2023-08-10 | 2023-09-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-08-10 | 2023-09-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-22 | 2023-09-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-22 | 2023-09-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-22 | 2023-09-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-22 | 2023-09-22 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-10 | 2023-09-15 | 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 | 2023-08-10 | 2023-09-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-10 | 2023-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-10 | 2023-09-15 | 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 | 2023-08-10 | 2023-09-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-10 | 2023-09-15 | 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 | 2023-08-10 | 2023-09-15 | 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 | 2023-08-10 | 2023-09-15 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-10 | 2023-09-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-10 | 2023-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-10 | 2023-09-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-08-10 | 2023-09-15 | 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 | 2023-08-10 | 2023-09-15 | 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 | 2023-08-10 | 2023-09-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-10 | 2023-09-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-08-10 | 2023-09-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-10 | 2023-09-15 | 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 | 2023-08-10 | 2023-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-10 | 2023-09-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-10 | 2023-09-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-08-10 | 2023-09-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-10 | 2023-09-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-10 | 2023-09-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-08-10 | 2023-09-15 | N |