Deficiency Records for Majestic Care of Battle Creek
Updated as of April 01, 2020
This is not the most recent data for Majestic Care of Battle Creek. For the most recent information, click here.
A list of the most recent deficiencies for Majestic Care of Battle Creek. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-06 | 2019-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-06 | 2019-08-23 | Y |
| 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 | 2019-06-06 | 2019-07-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-06 | 2019-07-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-06-06 | 2019-07-09 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-02-14 | 2019-03-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-14 | 2019-03-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-14 | 2019-03-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-14 | 2019-03-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-14 | 2019-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-14 | 2019-03-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-14 | 2019-03-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-15 | 2018-04-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-03-15 | 2018-04-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-15 | 2018-04-17 | 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 | 2018-03-15 | 2018-04-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-15 | 2018-04-17 | 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 ne | Health | 2018-03-15 | 2018-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-15 | 2018-04-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-15 | 2018-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-15 | 2018-04-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-24 | 2017-09-12 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-24 | 2017-09-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-03 | 2017-02-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-01-03 | 2017-02-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-01-03 | 2017-02-08 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-01-05 | 2017-02-08 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-01-05 | 2017-02-08 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-05 | 2017-02-08 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-05 | 2017-02-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-05 | 2017-02-08 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-05 | 2017-02-08 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-01-05 | 2017-02-08 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-05 | 2017-02-08 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-01-05 | 2017-02-08 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-01-05 | 2017-02-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-05 | 2017-02-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-01-05 | 2017-02-08 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-05 | 2017-02-08 | N |
