Deficiency Records for Mecklenburg Health and Rehabilitation
Updated as of March 01, 2018
This is not the most recent data for Mecklenburg Health and Rehabilitation. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-10-24 | 2017-11-21 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-24 | 2017-11-21 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-24 | 2017-11-21 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-07-25 | 2017-08-30 | 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 | 2017-07-25 | 2017-08-30 | 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 | 2017-07-25 | 2017-08-30 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-07-25 | 2017-08-30 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2017-07-25 | 2017-08-30 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2017-07-25 | 2017-08-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-07-25 | 2017-08-30 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-06-30 | 2017-07-21 | N |
| Provide housekeeping and maintenance services. | Health | 2017-06-30 | 2017-07-21 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-06-30 | 2017-07-21 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-06-30 | 2017-07-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-30 | 2017-07-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-30 | 2017-07-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-06-30 | 2017-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-30 | 2017-07-21 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-01-11 | 2017-02-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-01-11 | 2017-02-08 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-08-29 | 2016-11-01 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-29 | 2016-11-01 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-08-29 | 2016-11-01 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-08-29 | 2016-11-01 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-08-29 | 2016-11-01 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-08-29 | 2016-11-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-29 | 2016-11-01 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2016-08-05 | 2016-09-02 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-08-05 | 2016-09-02 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-08-05 | 2016-09-02 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-08-05 | 2016-09-02 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-05 | 2016-09-02 | N |
| Provide or obtain dental services for each resident. | Health | 2016-08-05 | 2016-09-02 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-05 | 2016-09-02 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-05 | 2016-09-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-08-05 | 2016-09-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-03 | 2016-03-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-03 | 2016-03-30 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-03-03 | 2016-03-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-03-03 | 2016-03-30 | Y |
| Approved construction type or materials. | Fire Safety | 2015-10-14 | 2015-11-22 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-10-14 | 2015-11-22 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-10-14 | 2015-11-22 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-10-14 | 2015-11-22 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-09-18 | 2015-10-29 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-09-18 | 2015-10-29 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-09-18 | 2015-10-29 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-09-18 | 2015-10-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-09-18 | 2015-10-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-18 | 2015-10-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-09-18 | 2015-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-18 | 2015-10-29 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2015-09-18 | 2015-10-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-08-05 | 2015-09-04 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-08-05 | 2015-09-04 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-06-16 | 2015-08-05 | Y |
