A list of the most recent deficiencies for Medilodge of Montrose Inc. 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? |
---|---|---|---|---|
Ensure that residents are free from significant medication errors. | Health | 2023-11-09 | 2023-12-20 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-09 | 2023-12-08 | 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 | 2023-11-09 | 2023-12-08 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-09 | 2023-12-08 | 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 | 2023-11-09 | 2023-12-08 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-09 | 2023-12-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-09 | 2023-12-08 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-09 | 2023-12-08 | 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 | 2023-11-09 | 2023-12-08 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-11-09 | 2023-12-08 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-09 | 2023-12-08 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-09 | 2023-12-08 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-09 | 2023-12-08 | 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 | 2023-11-09 | 2023-12-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-09 | 2023-12-08 | N |
Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-08 | 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 | 2023-11-07 | 2023-12-08 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-11-07 | 2023-12-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-07 | 2023-12-08 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2023-11-07 | 2023-12-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-07 | 2023-12-08 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-11 | 2022-08-29 | N |
Assess the resident when there is a significant change in condition | Health | 2022-08-11 | 2022-08-29 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-11 | 2022-08-29 | 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 | 2022-08-11 | 2022-08-29 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-11 | 2022-08-29 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-11 | 2022-08-29 | 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 | 2022-08-11 | 2022-08-29 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-11 | 2022-08-29 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-08-11 | 2022-08-29 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-11 | 2022-08-29 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-11 | 2022-08-29 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-11 | 2022-08-29 | N |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-08-11 | 2022-08-29 | N |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-08-11 | 2022-08-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-11 | 2022-08-29 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-11 | 2022-08-29 | 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 | 2022-08-16 | 2022-08-29 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-08-16 | 2022-08-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-16 | 2022-08-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-08-29 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2022-08-16 | 2022-08-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-28 | 2022-05-24 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-04-28 | 2022-05-24 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-04-28 | 2022-05-24 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-10 | 2021-12-07 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-17 | 2021-11-01 | 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 | 2021-08-17 | 2021-10-13 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-17 | 2021-10-13 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-17 | 2021-10-13 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-08-19 | 2021-09-28 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-08-19 | 2021-09-28 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-19 | 2021-09-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-19 | 2021-09-28 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-19 | 2021-09-28 | 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 | 2021-08-19 | 2021-09-28 | N |
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-08-19 | 2021-09-28 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-08-19 | 2021-09-28 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-08-19 | 2021-09-28 | 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 | 2021-08-19 | 2021-09-28 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-19 | 2021-09-28 | 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 | 2021-08-19 | 2021-09-28 | N |
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2021-08-19 | 2021-09-28 | N |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-08-19 | 2021-09-28 | N |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-08-19 | 2021-09-28 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-19 | 2021-09-28 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-28 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-09-14 | 2021-09-18 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-14 | 2021-09-18 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-14 | 2021-09-18 | Y |
List the names and contact information of those in the facility. | Fire Safety | 2021-08-17 | 2021-09-18 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-17 | 2021-09-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-08-17 | 2021-09-18 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-08-17 | 2021-09-18 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-17 | 2021-09-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-17 | 2021-09-18 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-17 | 2021-09-18 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-09-14 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-10 | 2021-07-19 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-06-10 | 2021-07-19 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-10 | 2021-07-19 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-10 | 2021-07-19 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-10 | 2021-07-19 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-10 | 2021-07-19 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-10 | 2021-07-19 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-10 | 2021-07-19 | Y |
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-06-10 | 2021-07-19 | Y |
Observe each nurse aide's job performance and give regular training. | Health | 2021-06-10 | 2021-07-19 | Y |
Post nurse staffing information every day. | Health | 2021-06-10 | 2021-07-19 | Y |
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 | 2021-06-10 | 2021-07-19 | Y |
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-06-10 | 2021-07-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-19 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-10 | 2021-07-19 | Y |