Deficiency Records for Accordius Health at Midwood, LLC
Updated as of October 01, 2021
This is not the most recent data for Accordius Health at Midwood, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Accordius Health at Midwood, LLC. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-08-27 | 2020-09-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-08-27 | 2020-09-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-08-27 | 2020-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-27 | 2020-09-30 | 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 | 2019-10-31 | 2019-12-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-10-31 | 2019-12-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-31 | 2019-12-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-31 | 2019-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-12-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-31 | 2019-12-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-31 | 2019-12-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-31 | 2019-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-31 | 2019-12-19 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-10-05 | 2019-11-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-05 | 2019-11-02 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-09 | 2019-02-01 | 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 | 2019-01-09 | 2019-02-01 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-01-09 | 2019-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-09 | 2019-02-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-09 | 2019-02-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-06 | 2019-01-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-06 | 2019-01-03 | 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 | 2018-12-06 | 2019-01-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-12-06 | 2019-01-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-06 | 2019-01-03 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-06 | 2019-01-03 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-12-06 | 2019-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-06 | 2019-01-03 | 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 | 2018-12-06 | 2019-01-03 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-01-04 | 2018-02-18 | N |
| 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 | 2018-01-04 | 2018-02-18 | 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 | 2018-01-04 | 2018-02-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-04 | 2018-02-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-04 | 2018-02-18 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2018-01-04 | 2018-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-04 | 2018-02-18 | 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 | 2017-12-09 | 2017-12-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-09 | 2017-12-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-09 | 2017-12-31 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2017-12-09 | 2017-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-09 | 2017-12-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-09 | 2017-12-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2017-12-09 | 2017-12-31 | N |
