Deficiency Records for Macgregor Downs Health Center By Harborview
Updated as of October 01, 2021
This is not the most recent data for Macgregor Downs Health Center By Harborview. For the most recent information, click here.
A list of the most recent deficiencies for Macgregor Downs Health Center By Harborview. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-14 | 2021-06-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-14 | 2021-06-11 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-05-14 | 2021-06-11 | 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 | 2021-05-14 | 2021-06-11 | 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 | 2021-05-14 | 2021-06-11 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-05-14 | 2021-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-14 | 2021-06-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-14 | 2021-06-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-14 | 2021-06-11 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-03-22 | 2021-05-14 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-03-22 | 2021-05-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-22 | 2021-05-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-02 | 2020-11-08 | 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 | 2019-12-04 | 2020-02-12 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-12-04 | 2020-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-04 | 2020-02-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-04 | 2020-02-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-20 | 2020-02-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-31 | 2019-11-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-31 | 2019-11-25 | 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 | 2019-10-31 | 2019-11-25 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-10-31 | 2019-11-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-29 | 2019-01-13 | 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 | 2018-11-29 | 2019-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-29 | 2019-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-29 | 2019-01-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-29 | 2019-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-29 | 2019-01-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-02 | 2018-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-02 | 2018-11-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-02 | 2018-11-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-02 | 2018-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-02 | 2018-11-29 | N |
