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Deficiency Records for Benedictine Living Community | Mother of Mercy
View the most recent health deficiencies and inspection results for Benedictine Living Community | Mother of Mercy. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Benedictine Living Community | Mother of Mercy. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-26 | 2026-04-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-02-26 | 2026-04-02 | 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 | 2026-02-26 | 2026-04-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-26 | 2026-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-26 | 2026-04-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-26 | 2026-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-26 | 2026-04-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-12-20 | 2025-02-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-12-20 | 2025-02-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-12-20 | 2025-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-20 | 2025-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-20 | 2025-01-31 | 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 | 2024-12-20 | 2025-01-31 | N |
| 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 | 2024-12-20 | 2025-01-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-12-20 | 2025-01-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-12-20 | 2025-01-30 | 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 | 2024-12-20 | 2025-01-30 | N |
| Post nurse staffing information every day. | Health | 2024-12-20 | 2025-01-30 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-12-20 | 2025-01-30 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-12-20 | 2025-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-20 | 2025-01-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-12-20 | 2025-01-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-12-20 | 2025-01-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-12-20 | 2025-01-30 | 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 | 2024-12-20 | 2025-01-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-20 | 2025-01-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-10 | 2024-11-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-10 | 2024-11-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-19 | 2024-08-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-19 | 2024-08-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-24 | 2024-02-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-24 | 2024-02-09 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-26 | 2024-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-26 | 2023-12-22 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-26 | 2023-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-12-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-26 | 2023-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-26 | 2023-12-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-26 | 2023-11-28 | 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 | 2023-10-26 | 2023-11-28 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-10-26 | 2023-11-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-26 | 2023-11-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-26 | 2023-11-28 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-10-26 | 2023-11-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-26 | 2023-11-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-23 | 2023-09-26 | Y |