Deficiency Records for Majestic Center For Rehab and Sub-Acute Care
Updated as of April 01, 2024
A list of the most recent deficiencies for Majestic Center For Rehab and Sub-Acute 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? |
|---|---|---|---|---|
| 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 | 2023-03-09 | 2023-03-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-09 | 2023-03-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-09 | 2023-03-31 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-09 | 2023-03-31 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-03-09 | 2023-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-09 | 2023-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-09 | 2023-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-09 | 2023-03-31 | 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 | 2023-03-09 | 2023-03-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-09 | 2023-03-31 | 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 | 2023-03-09 | 2023-03-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-09 | 2023-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-09 | 2023-03-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-09 | 2023-03-31 | 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 | 2023-03-09 | 2023-03-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-09 | 2023-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-09 | 2023-03-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-09 | 2023-03-31 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-09 | 2023-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-09 | 2023-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-12-23 | 2021-01-21 | 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 | 2020-12-23 | 2021-01-21 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2020-12-23 | 2021-01-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-12-23 | 2021-01-21 | N |
| Keep all essential equipment working safely. | Health | 2019-06-25 | 2019-07-31 | 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 | 2019-06-25 | 2019-07-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
