A list of the most recent deficiencies for Medilodge of Holland. 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 safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-12 | 2023-06-14 | Y |
| 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 | 2023-05-12 | 2023-06-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-12 | 2023-06-14 | 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 | 2023-05-12 | 2023-06-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-12 | 2023-06-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-12 | 2023-06-14 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-11 | 2023-06-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-11 | 2023-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-11 | 2023-06-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-01 | 2022-12-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2022-12-28 | 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 | 2022-05-11 | 2022-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-11 | 2022-06-08 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-11 | 2022-06-08 | 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 | 2022-05-11 | 2022-06-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-11 | 2022-06-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-11 | 2022-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-11 | 2022-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-09 | 2022-06-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-09 | 2022-06-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-16 | 2022-03-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-30 | 2021-05-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-30 | 2021-05-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-30 | 2021-05-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-30 | 2021-05-21 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-04-30 | 2021-05-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-30 | 2021-05-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-30 | 2021-05-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-05 | 2020-02-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-05 | 2020-02-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-05 | 2020-02-13 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-05 | 2020-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-05 | 2020-02-13 | 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 | 2020-02-05 | 2020-02-13 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2020-02-05 | 2020-02-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-05 | 2020-02-13 | 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 | 2020-02-05 | 2020-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-05 | 2020-02-13 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2020-02-05 | 2020-02-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-05 | 2020-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-05 | 2020-02-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-10 | 2020-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-10 | 2020-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-10 | 2020-02-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-10 | 2020-02-13 | N |
