A list of the most recent deficiencies for Maranatha Village, 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-06 | 2023-12-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-06 | 2023-12-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-06 | 2023-12-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-06 | 2023-12-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-06 | 2023-12-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-06 | 2023-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-06 | 2023-02-09 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-01-06 | 2023-02-09 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-17 | 2021-07-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-17 | 2021-07-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-17 | 2021-07-23 | 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 | 2021-06-17 | 2021-07-23 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-06-17 | 2021-07-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-17 | 2021-07-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-17 | 2021-07-23 | Y |
| 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 | 2021-06-17 | 2021-07-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-17 | 2021-07-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-17 | 2021-07-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-17 | 2021-07-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-05-22 | 2019-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-22 | 2019-06-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-22 | 2019-06-19 | N |
| Use approved construction type or materials. | Fire Safety | 2019-05-22 | 2019-06-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-14 | 2018-06-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-05-14 | 2018-06-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-14 | 2018-06-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-14 | 2018-06-07 | N |
| Meet other general requirements. | Fire Safety | 2018-05-14 | 2018-06-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-14 | 2018-06-05 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-05-14 | 2018-05-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-14 | 2018-05-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-14 | 2018-05-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-05-14 | 2018-05-23 | 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 | 2018-05-14 | 2018-05-22 | N |
