Deficiency Records for Macon Valley Nursing and Rehabilitation Center
Updated as of August 01, 2018
This is not the most recent data for Macon Valley Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Macon Valley Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-04-13 | 2018-06-20 | 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 | 2018-04-13 | 2018-06-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-13 | 2018-06-20 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-04-13 | 2018-06-20 | Y |
| 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 | 2018-04-13 | 2018-06-20 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-04-13 | 2018-06-20 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-05-16 | 2018-06-12 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-05-16 | 2018-06-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-16 | 2018-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-13 | 2018-05-11 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-04-13 | 2018-05-11 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-17 | 2017-09-08 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-28 | 2017-08-17 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-28 | 2017-08-17 | Y |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-06-28 | 2017-08-17 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-28 | 2017-08-17 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-03-15 | 2017-03-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-15 | 2017-03-23 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-27 | 2017-02-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-27 | 2017-02-24 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-01-27 | 2017-02-24 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-01-06 | 2016-02-20 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-01-06 | 2016-02-20 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-12-17 | 2016-01-09 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2015-12-17 | 2016-01-09 | N |
| Make sure that all required doctor visits are made personally. | Health | 2015-12-17 | 2016-01-09 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-11-17 | 2016-01-01 | Y |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-11-17 | 2016-01-01 | Y |
