A list of the most recent deficiencies for Marquis Care at Centennial Hills. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-03 | 2024-01-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-03 | 2024-01-16 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-27 | 2023-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-27 | 2023-08-16 | 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 | 2023-07-27 | 2023-08-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-07-27 | 2023-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-27 | 2023-08-16 | 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 | 2023-07-27 | 2023-08-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-27 | 2023-04-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-15 | 2023-04-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-15 | 2023-04-05 | 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 | 2023-03-15 | 2023-04-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-15 | 2022-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-15 | 2022-05-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-15 | 2022-05-13 | 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 | 2022-04-15 | 2022-05-13 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-04-15 | 2022-05-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-15 | 2022-05-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-15 | 2022-05-13 | 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 | 2022-04-15 | 2022-05-13 | 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 | 2022-04-15 | 2022-05-13 | 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 | 2022-04-15 | 2022-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-15 | 2022-05-13 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-11 | 2021-09-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-11 | 2021-09-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-11 | 2021-09-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-11 | 2021-09-17 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| Develop a communication plan. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-11-08 | 2020-01-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-07 | 2019-12-22 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-07 | 2019-12-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-07 | 2019-12-22 | N |
| Provide or obtain dental services for each resident. | Health | 2019-11-07 | 2019-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-22 | N |
