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Deficiency Records for Mcauley Hall Health Care Cente
View the most recent health deficiencies and inspection results for Mcauley Hall Health Care Cente. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mcauley Hall Health Care Cente. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-12 | 2026-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-12 | 2025-12-30 | 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 | 2025-08-12 | 2025-12-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-12 | 2025-12-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-12 | 2025-11-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-08-12 | 2025-11-26 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-08-12 | 2025-11-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-08-12 | 2025-11-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-12 | 2025-11-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-12 | 2025-11-25 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-08-12 | 2025-11-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-08-12 | 2025-11-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-12 | 2025-09-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-12 | 2025-09-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-13 | 2024-05-10 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-13 | 2024-04-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-13 | 2024-04-22 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-03-13 | 2024-04-22 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-03-13 | 2024-04-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-03-13 | 2024-04-22 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-03-13 | 2024-04-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-13 | 2024-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-13 | 2024-04-22 | N |
| Post nurse staffing information every day. | Health | 2024-03-13 | 2024-04-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-13 | 2024-04-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-13 | 2024-04-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-13 | 2024-04-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-13 | 2024-04-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-13 | 2024-04-22 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-03-13 | 2024-04-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-13 | 2024-04-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-13 | 2024-04-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-13 | 2024-04-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-08 | 2022-04-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-02-08 | 2022-03-09 | 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 | 2022-02-08 | 2022-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-08 | 2022-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-08 | 2022-02-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-08 | 2022-02-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-08 | 2022-02-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-08 | 2022-02-14 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-02-08 | 2022-02-09 | N |