Deficiency Records for Macon Valley Nursing and Rehabilitation Center

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Updated as of April 01, 2024

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?
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-02-16 2024-03-15 Y
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-02-16 2024-03-15 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 2024-02-16 2024-03-15 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-02-16 2024-03-15 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-16 2024-03-15 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-02-16 2023-07-31 Y
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-07-26 2022-10-10 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-07-26 2022-10-10 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 2022-07-26 2022-10-10 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2022-07-26 2022-10-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-07-26 2022-10-10 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-06-16 2022-07-13 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-06-16 2022-07-13 Y
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