Deficiency Records for The Banyan at Montclair
Updated as of March 01, 2021
This is not the most recent data for The Banyan at Montclair. For the most recent information, click here.
A list of the most recent deficiencies for The Banyan at Montclair. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-10-07 | 2020-10-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-18 | 2020-08-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-11 | 2020-02-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-11 | 2020-02-29 | Y |
| 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 | 2019-12-11 | 2020-02-19 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-12-11 | 2020-02-19 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-12-11 | 2020-02-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-11 | 2020-02-19 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-12-11 | 2020-02-19 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-11 | 2020-02-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-11 | 2020-02-19 | Y |
| 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 | 2019-12-11 | 2020-02-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-11 | 2020-02-19 | Y |
| Keep all essential equipment working safely. | Health | 2019-12-11 | 2020-02-19 | 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 | 2019-12-05 | 2020-02-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-12-05 | 2020-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-05 | 2020-02-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-05 | 2020-02-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-05 | 2020-02-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-05 | 2020-02-12 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-12-05 | 2020-02-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-27 | 2020-01-06 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-27 | 2020-01-06 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-12-27 | 2020-01-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-23 | 2019-11-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-27 | 2019-09-25 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-07-30 | 2019-08-15 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-13 | 2019-04-09 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-13 | 2019-04-09 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-11 | 2018-12-07 | 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 | 2018-09-11 | 2018-12-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-11 | 2018-12-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-11 | 2018-12-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-09-11 | 2018-12-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-09-11 | 2018-12-07 | N |
| Be properly staffed | Fire Safety | 2018-09-11 | 2018-12-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-09-11 | 2018-12-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-09-11 | 2018-12-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-11 | 2018-12-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-09-11 | 2018-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-11 | 2018-12-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-09-11 | 2018-12-07 | N |
| Meet other general requirements. | Fire Safety | 2018-09-11 | 2018-10-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-11 | 2018-10-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-17 | 2018-10-31 | 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 | 2018-09-17 | 2018-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-17 | 2018-10-31 | 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 | 2018-09-17 | 2018-10-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-17 | 2018-10-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-17 | 2018-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-17 | 2018-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-17 | 2018-10-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-17 | 2018-10-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-17 | 2018-10-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-17 | 2018-10-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-17 | 2018-10-31 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-17 | 2018-10-31 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-11 | 2018-10-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-11 | 2018-10-26 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-09-11 | 2018-10-26 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2018-09-11 | 2018-10-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-11 | 2018-10-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-11 | 2018-10-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-09-11 | 2018-10-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-26 | 2018-07-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-06-26 | 2018-07-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-26 | 2018-07-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-06 | 2018-06-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-06 | 2018-06-27 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-06-07 | 2017-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-07 | 2017-08-11 | 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 | 2017-06-07 | 2017-07-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-06-07 | 2017-07-20 | 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 | 2017-06-07 | 2017-07-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-06-07 | 2017-07-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-06-07 | 2017-07-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-06-07 | 2017-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-07 | 2017-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-07 | 2017-07-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-06-07 | 2017-07-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-06 | 2017-07-20 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-06-06 | 2017-07-20 | N |
| Provide housekeeping and maintenance services. | Health | 2017-06-06 | 2017-07-20 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-06-06 | 2017-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-06 | 2017-07-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-06 | 2017-07-20 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-06 | 2017-07-20 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-06-06 | 2017-07-20 | N |
