A list of the most recent deficiencies for Merit House 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-28 | 2022-06-15 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-04-28 | 2022-06-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-04-28 | 2022-06-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-04-28 | 2022-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-28 | 2022-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-28 | 2022-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-28 | 2022-06-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-26 | 2022-06-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-12 | 2021-11-30 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-15 | 2021-10-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-09-01 | 2021-10-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-30 | 2019-08-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-30 | 2019-08-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-30 | 2019-08-12 | 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 | 2019-05-30 | 2019-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-30 | 2019-08-12 | 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 | 2019-05-28 | 2019-08-12 | 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 | 2019-05-28 | 2019-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-28 | 2019-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-28 | 2019-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-28 | 2019-08-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-26 | 2018-06-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-04-26 | 2018-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-26 | 2018-06-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-26 | 2018-06-15 | 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 | 2018-04-26 | 2018-06-15 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2018-04-26 | 2018-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-26 | 2018-06-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-26 | 2018-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-26 | 2018-06-15 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-25 | 2018-06-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-25 | 2018-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-25 | 2018-06-15 | N |
