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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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