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Deficiency Records for Gardens at Monroe Healthcare and Rehabilitation
View the most recent health deficiencies and inspection results for Gardens at Monroe Healthcare and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Gardens at Monroe Healthcare and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-04-09 | 2025-05-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-04-09 | 2025-05-18 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-04-09 | 2025-05-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-09 | 2025-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-09 | 2025-05-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-09 | 2025-05-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-09 | 2025-05-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-05-04 | 2023-06-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-04 | 2023-06-20 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-05-04 | 2023-06-20 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-05-04 | 2023-06-20 | N |
| 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 | 2023-05-04 | 2023-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-04 | 2023-06-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-04 | 2023-06-15 | 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 | 2023-05-04 | 2023-06-15 | 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 | 2023-05-04 | 2023-06-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-04 | 2023-06-15 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-05-04 | 2023-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-04 | 2023-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-04 | 2023-06-15 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-04 | 2023-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-04 | 2023-06-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-04 | 2023-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-04 | 2023-06-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-04 | 2023-06-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-04 | 2023-06-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-04 | 2023-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-04 | 2023-06-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-11 | 2021-07-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-11 | 2021-06-21 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-05-11 | 2021-05-12 | N |