Deficiency Records for Gardens at Monroe Healthcare and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Gardens at Monroe Healthcare and Rehabilitation. 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? |
|---|---|---|---|---|
| Meet requirements for sections of health care facilities separated by fire resistive construction. | 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 |
| 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 |
| 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 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 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 |
| Respond appropriately to all alleged violations. | 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 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 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 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 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 |
| 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 |
| 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 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-05-04 | 2023-06-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-04 | 2023-06-15 | Y |
| 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 |
| Have approved installation, maintenance and testing program for fire alarm systems. | 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 |
| 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 |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-19 | 2019-09-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-19 | 2019-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-19 | 2019-09-16 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-07-19 | 2019-09-16 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-07-19 | 2019-09-16 | N |
