A list of the most recent deficiencies for Mayfair Care Center. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-30 | 2023-05-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-30 | 2023-05-26 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-03-30 | 2023-05-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-30 | 2023-05-26 | 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 | 2023-03-30 | 2023-05-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-30 | 2023-05-26 | 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 | 2023-03-30 | 2023-05-26 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-30 | 2023-05-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-30 | 2023-05-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-30 | 2023-05-26 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-30 | 2023-05-26 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-03-30 | 2023-05-26 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-31 | 2023-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-31 | 2023-05-24 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-03-31 | 2023-05-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-31 | 2023-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-31 | 2023-05-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-31 | 2023-05-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-31 | 2023-04-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-31 | 2023-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-31 | 2023-04-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-31 | 2023-04-20 | 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 | 2023-03-31 | 2023-04-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2020-10-02 | 2020-10-30 | 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 | 2020-10-02 | 2020-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-02 | 2020-10-30 | N |
| Use approved construction type or materials. | Fire Safety | 2020-10-02 | 2020-10-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-10-02 | 2020-10-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-02 | 2020-10-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-03-29 | 2019-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-29 | 2019-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-29 | 2019-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-29 | 2019-05-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-29 | 2019-05-27 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-03-29 | 2019-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-29 | 2019-05-27 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-29 | Not Fixed | N |
