Deficiency Records for Memorial Community Care
Updated as of October 01, 2022
This is not the most recent data for Memorial Community Care. For the most recent information, click here.
A list of the most recent deficiencies for Memorial Community Care. 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? |
|---|---|---|---|---|
| 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 | 2022-08-04 | 2022-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-04 | 2022-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-04 | 2022-09-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-04 | 2022-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-09-09 | 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 | 2022-08-02 | 2022-08-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-08 | 2021-05-20 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-04-08 | 2021-05-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-08 | 2021-05-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-08 | 2021-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-08 | 2021-05-20 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2021-04-06 | 2021-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-23 | 2020-07-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-23 | 2019-09-05 | 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 | 2019-07-23 | 2019-09-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-23 | 2019-09-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-07-23 | 2019-09-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-23 | 2019-09-05 | 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 | 2019-07-22 | 2019-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-22 | 2019-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-22 | 2019-09-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-22 | 2019-09-05 | N |
