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Deficiency Records for Catholic Memorial Home
View the most recent health deficiencies and inspection results for Catholic Memorial Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Catholic Memorial Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-10-14 | 2025-11-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-14 | 2025-11-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-17 | 2025-05-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-17 | 2025-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-17 | 2025-05-19 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2025-04-17 | 2025-05-19 | 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 | 2025-04-17 | 2025-05-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-17 | 2025-05-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-04-17 | 2025-05-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-17 | 2025-05-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-17 | 2025-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-17 | 2025-05-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-26 | 2024-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-26 | 2024-04-17 | 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 | 2024-03-26 | 2024-04-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-26 | 2024-04-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-26 | 2024-04-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-26 | 2024-04-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-26 | 2024-04-12 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-26 | 2024-04-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-26 | 2024-04-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-26 | 2024-04-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-26 | 2024-04-05 | N |
| Keep all essential equipment working safely. | Health | 2022-06-29 | 2022-08-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-29 | 2022-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-29 | 2022-08-19 | 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 | 2022-06-29 | 2022-08-19 | 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 | 2022-06-29 | 2022-08-19 | 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 | 2022-06-29 | 2022-08-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-29 | 2022-08-19 | 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 | 2022-06-29 | 2022-08-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-06-29 | 2022-08-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-06-29 | 2022-08-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-29 | 2022-08-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-29 | 2022-08-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-29 | 2022-08-19 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-29 | 2022-08-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-29 | 2022-08-19 | 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 | 2022-06-29 | 2022-08-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-29 | 2022-08-19 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-06-29 | 2022-08-19 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-29 | 2022-08-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-29 | 2022-08-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-29 | 2022-08-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-06-29 | 2022-08-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-29 | 2022-08-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-29 | 2022-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-29 | 2022-07-13 | N |