Deficiency Records for Marquis Plaza Regency Post Acute Rehab
Updated as of March 01, 2024
A list of the most recent deficiencies for Marquis Plaza Regency Post Acute Rehab. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-14 | 2023-10-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-14 | 2023-10-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-09-14 | 2023-10-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-14 | 2023-10-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-14 | 2023-10-05 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-14 | 2023-10-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-09-14 | 2023-09-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-14 | 2023-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-14 | 2023-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-14 | 2023-09-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-14 | 2023-09-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-14 | 2023-09-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-01 | 2023-03-06 | Y |
| Keep all essential equipment working safely. | Health | 2023-02-01 | 2023-03-06 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-14 | 2022-08-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-14 | 2022-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-14 | 2022-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-14 | 2022-08-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-07-14 | 2022-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-19 | 2022-08-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-07-19 | 2022-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-19 | 2022-08-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-19 | 2022-08-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-19 | 2022-08-15 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-19 | 2022-08-15 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2022-07-14 | 2022-08-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-14 | 2022-08-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-14 | 2022-08-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-14 | 2022-08-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-26 | 2019-09-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-26 | 2019-09-04 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-26 | 2019-09-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-26 | 2019-09-04 | N |
| Provide appropriate foot care. | Health | 2019-07-26 | 2019-09-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-07-26 | 2019-09-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-26 | 2019-09-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-07-26 | 2019-09-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-26 | 2019-09-04 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-07-26 | 2019-09-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-07-26 | 2019-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-26 | 2019-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-26 | 2019-09-04 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-23 | 2019-09-04 | N |
