Deficiency Records for Marywood Nursing Care Center
Updated as of July 01, 2022
This is not the most recent data for Marywood Nursing Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Marywood Nursing Care 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-03-31 | 2021-04-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-31 | 2021-04-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-31 | 2021-04-21 | 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 | 2021-03-31 | 2021-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-31 | 2021-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-26 | 2021-02-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-17 | 2019-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-17 | 2019-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-17 | 2019-08-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-07-17 | 2019-08-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-17 | 2019-08-09 | 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 | 2019-07-16 | 2019-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-16 | 2019-08-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-16 | 2019-08-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-16 | 2019-08-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-16 | 2019-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-16 | 2019-08-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-16 | 2019-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-16 | 2019-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-16 | 2019-08-09 | 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 | 2018-08-28 | 2018-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-28 | 2018-09-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-28 | 2018-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-28 | 2018-09-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-30 | 2018-09-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-30 | 2018-09-24 | 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 | 2018-08-30 | 2018-09-24 | 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 | 2018-08-30 | 2018-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-30 | 2018-09-24 | N |
