A list of the most recent deficiencies for Mt Vernon Nursing. 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? |
|---|---|---|---|---|
| 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 | 2023-04-07 | 2023-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-07 | 2023-05-15 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2023-04-07 | 2023-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-07 | 2023-05-15 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-04-07 | 2023-05-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-07 | 2023-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-07 | 2023-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-07 | 2023-05-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-07 | 2023-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-07 | 2023-05-15 | N |
| 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 | 2023-04-07 | 2023-04-07 | 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 | 2022-11-09 | 2022-12-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-13 | 2022-09-14 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-12-06 | 2020-01-17 | 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 | 2019-12-06 | 2020-01-17 | 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 | 2019-12-06 | 2020-01-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-06 | 2020-01-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-06 | 2020-01-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-12-06 | 2020-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-06 | 2020-01-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-06 | 2020-01-17 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-12-06 | 2020-01-17 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-12-06 | 2020-01-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-06 | 2020-01-17 | N |
