A list of the most recent deficiencies for Marwood Manor Nursing 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? |
|---|---|---|---|---|
| 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 | 2023-05-03 | 2023-05-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-05-03 | 2023-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-05-31 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-03 | 2023-05-31 | 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 | 2023-05-03 | 2023-05-31 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-05-03 | 2023-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-03 | 2023-05-31 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-03 | 2023-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-03 | 2023-05-31 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-05-03 | 2023-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-27 | 2022-08-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-29 | 2022-04-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-29 | 2022-04-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-29 | 2022-04-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-28 | 2022-04-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-28 | 2022-04-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-03-28 | 2022-04-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-28 | 2022-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-28 | 2022-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-28 | 2022-04-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-28 | 2022-04-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-28 | 2022-04-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-28 | 2022-04-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-28 | 2022-04-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-12 | 2019-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-12 | 2019-07-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-12 | 2019-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-12 | 2019-07-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-06-12 | 2019-07-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-06-12 | 2019-07-10 | 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 | 2019-06-12 | 2019-07-10 | 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 | 2019-06-12 | 2019-07-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-11 | 2019-07-10 | N |
