A list of the most recent deficiencies for Marion Pointe. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-13 | 2023-01-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-13 | 2023-01-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-11 | 2022-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-11 | 2022-05-26 | 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 | 2022-04-11 | 2022-05-26 | 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 | 2022-04-11 | 2022-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-11 | 2022-05-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-11 | 2022-05-26 | 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 | 2022-04-07 | 2022-05-26 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2022-04-07 | 2022-05-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-07 | 2022-05-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-07 | 2022-05-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-07 | 2022-05-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-07 | 2022-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-07 | 2022-05-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-07 | 2022-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-22 | 2021-12-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-08 | 2019-09-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-08 | 2019-09-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-08 | 2019-09-17 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-05 | 2019-09-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-05 | 2019-09-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-05 | 2019-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-05 | 2019-09-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-05 | 2019-09-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-05 | 2019-09-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-05 | 2019-09-17 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-08-05 | 2019-09-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-05 | 2019-09-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-07-03 | 2018-08-03 | N |
| Provide or obtain dental services for each resident. | Health | 2018-07-03 | 2018-08-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-03 | 2018-08-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-07-02 | 2018-08-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-07-02 | 2018-08-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-02 | 2018-08-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-02 | 2018-08-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-07-02 | 2018-08-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-07-02 | 2018-08-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-07-03 | 2018-07-20 | N |
