Deficiency Records for Accordius Health at Midwood, LLC
Updated as of May 01, 2022
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? |
---|---|---|---|---|
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-11 | 2022-01-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-11 | 2022-01-25 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-16 | 2022-01-13 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-16 | 2022-01-13 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-12-16 | 2022-01-13 | N |
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-12-16 | 2022-01-13 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-16 | 2022-01-13 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-12-16 | 2022-01-13 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-16 | 2022-01-13 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-16 | 2022-01-13 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2022-01-13 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2022-01-13 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-12-16 | 2022-01-13 | N |
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-12-16 | 2022-01-13 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-16 | 2022-01-13 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-12-16 | 2022-01-13 | 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 | 2021-12-16 | 2022-01-13 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-12-16 | 2022-01-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-16 | 2022-01-13 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-12-16 | 2022-01-13 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-16 | 2022-01-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2022-01-13 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-16 | 2022-01-13 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-16 | 2022-01-13 | Y |
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 |
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 | N |
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 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-12-06 | 2019-01-03 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-12-06 | 2019-01-03 | N |
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 | N |
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 | 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 |