Deficiency Records for Monroe Springs Skilled Nursing and Rehab
Updated as of September 01, 2020
This is not the most recent data for Monroe Springs Skilled Nursing and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Monroe Springs Skilled Nursing and Rehab. 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 | 2019-04-25 | 2019-05-30 | 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 | 2019-04-25 | 2019-05-30 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-25 | 2019-05-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-05-30 | N |
Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-05-30 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-25 | 2019-05-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-24 | 2019-05-09 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-19 | 2019-04-11 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-24 | 2018-10-31 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-09-24 | 2018-10-31 | Y |
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 | 2018-04-26 | 2018-06-01 | 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 | 2018-04-26 | 2018-06-01 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Be properly staffed | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-26 | 2018-06-01 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-25 | 2018-05-19 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-25 | 2018-05-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-25 | 2018-05-19 | N |
Provide and implement an infection prevention and control program. | Health | 2018-04-25 | 2018-05-19 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-05-17 | 2017-06-23 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-05-17 | 2017-06-23 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-05-17 | 2017-06-23 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2017-05-17 | 2017-06-23 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-17 | 2017-06-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-17 | 2017-06-23 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-05-17 | 2017-06-23 | 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 | 2017-05-18 | 2017-06-23 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-18 | 2017-06-23 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-18 | 2017-06-23 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-05-18 | 2017-06-23 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-05-18 | 2017-06-23 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-05-18 | 2017-06-23 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-18 | 2017-06-23 | N |
Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2017-05-18 | 2017-06-23 | N |