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Deficiency Records for Catholic Memorial Home

A list of the most recent deficiencies for Catholic Memorial Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Catholic Memorial Home. 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?
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-04-03 2024-04-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-03 2024-04-17 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
Develop and implement policies and procedures to prevent abuse, neglect, and theft. 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
Respond appropriately to all alleged violations. 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
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 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
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
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-03 2024-04-05 N
Allow residents to self-administer drugs if determined clinically appropriate. 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
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
Develop and implement policies and procedures to prevent abuse, neglect, and theft. 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
Respond appropriately to all alleged violations. 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
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
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
Ensure services provided by the nursing facility meet professional standards of quality. 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
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 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 safe, appropriate pain management for a resident who requires such services. 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 the appropriate treatment and services to a resident who displays or is diagnosed with dementia. 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
Ensure each resident?s drug regimen must be free from unnecessary 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 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
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
Provide and implement an infection prevention and control program. Health 2022-06-29 2022-08-19 N
Implement a program that monitors antibiotic use. Health 2022-06-29 2022-08-19 N
Keep all essential equipment working safely. Health 2022-06-29 2022-08-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-07-07 2022-07-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-28 2022-04-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-28 2022-04-27 Y
Provide and implement an infection prevention and control program. Health 2021-12-16 2022-01-07 N
Have an enclosure around a vertical opening shaft. Fire Safety 2019-10-10 2019-11-24 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-08-27 2019-11-02 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2019-08-27 2019-11-02 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 2019-08-27 2019-11-02 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-08-27 2019-11-02 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2019-08-27 2019-11-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-08-27 2019-11-02 N

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