Deficiency Records for Mecklenburg Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Mecklenburg Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-12-14 | 2024-01-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-14 | 2024-01-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-12 | 2023-04-06 | 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 | 2023-01-12 | 2023-03-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-12 | 2023-03-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-12 | 2023-03-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-12 | 2023-03-28 | N |
| 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 | 2022-12-15 | 2023-01-12 | 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 | 2022-12-15 | 2023-01-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-15 | 2023-01-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-01-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-15 | 2023-01-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-15 | 2023-01-12 | Y |
| Post nurse staffing information every day. | Health | 2022-02-04 | 2022-02-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-04 | 2021-10-02 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-06-04 | 2021-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-04 | 2021-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-04 | 2021-07-02 | 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 | 2019-04-10 | 2019-05-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-04-10 | 2019-05-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-10 | 2019-05-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-10 | 2019-05-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-10 | 2019-05-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-08 | 2019-04-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-08 | 2019-04-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-08 | 2019-04-05 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-03-08 | 2019-04-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-08 | 2019-04-05 | 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 | 2019-03-08 | 2019-04-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-08 | 2019-04-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-08 | 2019-04-05 | 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 | 2019-03-08 | 2019-04-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-08 | 2019-04-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-03-08 | 2019-04-05 | N |
