A list of the most recent deficiencies for Overlook Masonic Health Center. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-01 | 2023-12-14 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-29 | 2022-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-29 | 2022-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-06 | 2022-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-29 | 2022-02-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-14 | 2022-01-27 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-08-19 | 2021-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-07 | 2021-06-10 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-02 | 2020-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-02 | 2020-03-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-03-02 | 2020-03-18 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-03-02 | 2020-03-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-03-02 | 2020-03-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-28 | 2020-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-28 | 2020-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-28 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-28 | 2020-02-28 | 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 | 2020-01-28 | 2020-02-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-08 | 2019-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-22 | 2019-03-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-08 | 2019-02-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-08 | 2019-02-22 | 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 | 2019-01-08 | 2019-02-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-01-08 | 2019-02-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-08 | 2019-02-20 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-01-08 | 2019-02-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-08 | 2019-02-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-08 | 2019-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-22 | 2019-02-01 | N |
