A list of the most recent deficiencies for Maria Regina Residence Inc. 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-25 | 2023-11-15 | 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 | 2023-09-25 | 2023-11-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-25 | 2023-11-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-25 | 2023-11-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-25 | 2023-10-26 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-09-25 | 2023-10-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-13 | 2021-11-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-09-13 | 2021-11-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-13 | 2021-11-03 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-09-13 | 2021-11-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-09-13 | 2021-10-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-09-13 | 2021-10-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-13 | 2021-10-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-13 | 2021-10-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-13 | 2021-10-13 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-09-13 | 2021-10-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-13 | 2021-10-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-05-10 | 2019-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-10 | 2019-07-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-10 | 2019-07-01 | 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 | 2019-05-10 | 2019-07-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-10 | 2019-05-31 | N |
