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Deficiency Records for Monument Healthcare and Nursing Center
View the most recent health deficiencies and inspection results for Monument Healthcare and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Monument Healthcare and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-08-16 | 2025-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-16 | 2025-09-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-16 | 2025-09-10 | N |
| Dispose of garbage and refuse properly. | Health | 2025-08-16 | 2025-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-16 | 2025-09-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-08-16 | 2025-09-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-16 | 2025-09-10 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-16 | 2025-09-10 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-08-16 | 2025-09-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-08-16 | 2025-09-10 | Y |
| Use approved construction type or materials. | Fire Safety | 2025-08-16 | 2025-09-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-16 | 2025-09-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-16 | 2025-09-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-09 | 2025-07-25 | 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 | 2025-04-03 | 2025-04-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-03 | 2025-04-28 | 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 | 2025-04-03 | 2025-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-03 | 2025-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-03 | 2025-04-28 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-04-03 | 2025-04-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-16 | 2025-01-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-16 | 2025-01-10 | Y |
| 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 | 2024-08-01 | 2024-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-01 | 2024-08-29 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-08-01 | 2024-08-29 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-01 | 2024-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-01 | 2024-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-01 | 2024-08-29 | 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 | 2024-08-01 | 2024-08-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-01 | 2024-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-01 | 2024-08-29 | 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 | 2024-08-01 | 2024-08-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-01 | 2024-08-29 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-08-01 | 2024-08-29 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-01 | 2024-08-29 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-01 | 2024-08-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-01 | 2024-08-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-15 | 2023-12-27 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-07-13 | 2023-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-13 | 2023-08-25 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-07-13 | 2023-08-25 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-07-13 | 2023-08-25 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-07-13 | 2023-08-25 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-13 | 2023-08-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-07-13 | 2023-08-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-13 | 2023-08-25 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-07-13 | 2023-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-13 | 2023-08-25 | N |