Deficiency Records for Atlas Healthcare at Daughters of Miriam
Updated as of March 01, 2024
A list of the most recent deficiencies for Atlas Healthcare at Daughters of Miriam. 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? |
|---|---|---|---|---|
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-05-05 | 2023-05-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-05 | 2023-05-31 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-05 | 2023-05-31 | 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 | 2023-05-05 | 2023-05-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-05 | 2023-05-31 | 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 | 2023-05-05 | 2023-05-31 | 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 | 2023-05-05 | 2023-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-05 | 2023-05-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-05-05 | 2023-05-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-05-05 | 2023-05-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-05 | 2023-05-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-05 | 2023-05-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-05 | 2023-05-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-05 | 2023-05-31 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-20 | 2023-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-20 | 2023-03-07 | N |
| Have a Compliance and Ethics Program. | Health | 2023-01-20 | 2023-03-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-10 | 2019-07-24 | N |
