A list of the most recent deficiencies for Memorial Healthcare Center Ltc. 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 enough food/fluids to maintain a resident's health. | Health | 2023-02-15 | 2023-03-16 | N |
| Keep all essential equipment working safely. | Health | 2023-02-15 | 2023-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-14 | 2023-03-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-14 | 2023-03-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-02-14 | 2023-03-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-14 | 2023-03-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-02 | 2022-04-12 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-03-04 | 2022-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-04 | 2022-04-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-04 | 2022-04-05 | N |
| Keep all essential equipment working safely. | Health | 2022-03-04 | 2022-04-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-02 | 2022-04-05 | 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 | 2022-03-02 | 2022-04-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-03-02 | 2022-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-02 | 2022-04-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-02 | 2022-04-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-02 | 2022-04-05 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2022-03-02 | 2022-04-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-02 | 2022-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2021-12-23 | 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 | 2019-06-05 | 2019-07-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-05 | 2019-07-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-05 | 2019-07-09 | 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 | 2019-06-05 | 2019-07-09 | N |
