Deficiency Records for Mary Ann Morse Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Mary Ann Morse Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-27 | 2023-08-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-27 | 2023-07-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-27 | 2023-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-27 | 2023-07-11 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-06-27 | 2023-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-27 | 2023-07-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-23 | 2021-11-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-09-23 | 2021-11-07 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-09-23 | 2021-11-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-23 | 2021-11-07 | 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 | 2021-09-23 | 2021-11-07 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-09-23 | 2021-11-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-23 | 2021-11-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-23 | 2021-11-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-17 | 2021-10-27 | 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 | 2021-09-17 | 2021-10-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-17 | 2021-10-27 | 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 | 2021-09-17 | 2021-10-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-17 | 2021-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-17 | 2021-10-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-17 | 2021-10-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-04-16 | 2019-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-16 | 2019-05-13 | N |
