Deficiency Records for Macon Valley Nursing and Rehabilitation Center
Updated as of May 01, 2021
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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-03-12 | 2020-03-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-12 | 2020-03-27 | N |
| Dispose of garbage and refuse properly. | Health | 2020-03-12 | 2020-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-02 | 2019-11-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-02 | 2019-11-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-02 | 2019-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-02 | 2019-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-12 | 2019-07-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-04 | 2019-07-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-04 | 2019-07-03 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-20 | 2019-04-19 | 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 | 2019-03-20 | 2019-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-20 | 2019-04-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-01-05 | 2019-03-11 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-23 | 2019-03-11 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-02-22 | 2019-03-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-22 | 2019-03-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-22 | 2019-03-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-02-22 | 2019-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-22 | 2019-03-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-05 | 2019-02-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-01-05 | 2019-02-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-05 | 2019-02-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-05 | 2019-02-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-05 | 2019-02-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-05 | 2019-02-04 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-01-05 | 2019-02-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-05 | 2019-02-04 | 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 | 2019-01-05 | 2019-02-04 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-05 | 2019-02-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-05 | 2019-02-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-23 | 2019-02-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-23 | 2019-02-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-23 | 2019-02-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-23 | 2019-02-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-23 | 2019-02-04 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-10-23 | 2019-02-04 | 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 | 2018-10-23 | 2019-02-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-10-23 | 2019-02-04 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-11-28 | 2018-12-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-23 | 2018-12-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-23 | 2018-12-05 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-10-23 | 2018-12-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-23 | 2018-12-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-23 | 2018-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-23 | 2018-12-05 | 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 | 2018-10-23 | 2018-12-05 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-10-23 | 2018-12-05 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-06-20 | 2018-07-13 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-05-16 | 2018-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-16 | 2018-06-28 | N |
