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Deficiency Records for Maranatha Village, Inc

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.

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 a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-04-19 2024-06-02 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 2024-04-19 2024-06-02 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 2024-04-19 2024-06-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-19 2024-06-02 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-04-19 2024-06-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-19 2024-06-02 N
Provide and implement an infection prevention and control program. Health 2024-04-19 2024-06-02 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-04-19 2024-06-02 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-04-17 2024-06-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-04-17 2024-06-02 N
Have proper medical gas storage and administration areas. Fire Safety 2024-04-17 2024-06-02 N
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
Protect each resident from the wrongful use of the resident's belongings or money. 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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-06-17 2021-07-23 N
Respond appropriately to all alleged violations. 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
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 an approved automatic sprinkler system. Fire Safety 2024-04-17 Not Fixed N

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