Deficiency Records for Mother of Mercy Senior Living
Updated as of November 01, 2020
This is not the most recent data for Mother of Mercy Senior Living. For the most recent information, click here.
A list of the most recent deficiencies for Mother of Mercy Senior Living. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-25 | 2019-08-19 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-07-25 | 2019-08-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-25 | 2019-08-19 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-25 | 2019-08-19 | 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 | 2019-07-25 | 2019-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-25 | 2019-08-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-23 | 2019-08-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-07-23 | 2019-08-14 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-07-23 | 2019-08-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-23 | 2019-08-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-23 | 2019-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-23 | 2019-08-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-20 | 2018-10-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-19 | 2018-10-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-20 | 2018-10-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-20 | 2018-10-28 | 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 | 2018-09-20 | 2018-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-20 | 2018-10-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-20 | 2018-10-28 | 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 | 2018-09-20 | 2018-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-20 | 2018-10-28 | N |
| Post nurse staffing information every day. | Health | 2018-09-20 | 2018-10-08 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-28 | 2017-09-05 | 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 | 2017-07-28 | 2017-09-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-07-28 | 2017-09-05 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-28 | 2017-09-05 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-28 | 2017-09-05 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-28 | 2017-09-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-28 | 2017-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-28 | 2017-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-26 | 2017-08-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-28 | 2017-08-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-28 | 2017-08-04 | N |
