Deficiency Records for Mecklenburg Health and Rehabilitation
Updated as of September 01, 2020
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-02 | 2020-01-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-02 | 2020-01-30 | Y |
| Post nurse staffing information every day. | Health | 2020-01-02 | 2020-01-30 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-09-19 | 2019-10-17 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-09-19 | 2019-10-17 | Y |
| 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 |
| 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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-08 | 2019-04-05 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-06-19 | 2018-08-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-19 | 2018-08-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-06-19 | 2018-08-02 | N |
| Be properly staffed | Fire Safety | 2018-06-19 | 2018-08-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-05-25 | 2018-06-25 | 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 | 2018-05-25 | 2018-06-25 | 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 | 2018-05-25 | 2018-06-25 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-05-25 | 2018-06-25 | 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 | 2018-05-25 | 2018-06-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-05-25 | 2018-06-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-05-25 | 2018-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-25 | 2018-06-25 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-05-25 | 2018-06-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-05-25 | 2018-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-25 | 2018-06-25 | N |
| 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 | 2018-04-11 | 2018-05-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-11 | 2018-05-09 | Y |
| 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 |
