A list of the most recent deficiencies for Monroe Community Hospital. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-18 | 2023-11-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-01 | 2023-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-01 | 2023-06-30 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-05-01 | 2023-06-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-05-01 | 2023-06-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-01 | 2023-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-01 | 2023-06-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-01 | 2023-06-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-01 | 2023-06-30 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-05-01 | 2023-06-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-01 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-01 | 2023-06-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-01 | 2023-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-12 | 2022-10-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-12 | 2022-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-12 | 2022-10-10 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2021-09-28 | 2021-11-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-15 | 2021-09-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-15 | 2021-09-03 | Y |
| 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 | 2021-07-15 | 2021-08-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-15 | 2021-08-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-07-15 | 2021-08-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-19 | 2021-05-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-19 | 2021-05-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-19 | 2021-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-19 | 2021-05-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-03-19 | 2021-05-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-22 | 2019-12-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-22 | 2019-12-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-22 | 2019-12-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-22 | 2019-12-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-22 | 2019-12-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-22 | 2019-12-19 | N |
