A list of the most recent deficiencies for Montgomery Care Center. 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? |
|---|---|---|---|---|
| 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 | 2023-12-12 | 2024-01-26 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-12 | 2024-01-26 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-12 | 2024-01-26 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-12 | 2024-01-26 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-12 | 2024-01-26 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-12 | 2024-01-26 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-03-02 | 2022-04-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-02 | 2022-04-11 | Y |
| 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 | 2022-03-02 | 2022-04-11 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-03-02 | 2022-04-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-02 | 2022-04-11 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-02 | 2022-04-11 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-03-02 | 2022-04-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-02 | 2022-04-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-16 | 2022-04-11 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-16 | 2022-04-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-16 | 2022-04-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-16 | 2022-04-11 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-14 | 2022-04-11 | 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 | 2022-02-14 | 2022-04-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2022-02-14 | 2022-04-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-06 | 2022-01-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2021-11-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-09 | 2021-11-12 | Y |
| 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 | 2021-09-09 | 2021-11-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-09 | 2021-11-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-09 | 2021-11-12 | Y |
| 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 | 2021-09-09 | 2021-11-12 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-09-09 | 2021-11-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-09 | 2021-11-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-11-12 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-09 | 2021-11-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-12 | 2019-05-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-12 | 2019-05-16 | 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 | 2019-03-12 | 2019-05-16 | 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 | 2019-03-12 | 2019-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-12 | 2019-05-16 | 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 | 2019-03-12 | 2019-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-12 | 2019-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-12 | 2019-05-16 | 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 | 2019-03-12 | 2019-05-16 | N |
| Provide or obtain dental services for each resident. | Health | 2019-03-12 | 2019-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-12 | 2019-05-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-11 | 2019-05-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-11 | 2019-05-16 | 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 | 2019-03-11 | 2019-05-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-11 | 2019-05-16 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-03-11 | 2019-05-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-11 | 2019-05-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-11 | 2019-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-11 | 2019-05-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-11 | 2019-05-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-11 | 2019-05-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-11 | 2019-05-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-11 | 2019-05-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-11 | 2019-05-16 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-02-01 | 2018-04-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-01 | 2018-04-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-02-01 | 2018-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-01 | 2018-04-10 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-02-01 | 2018-04-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-01 | 2018-04-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-02-01 | 2018-04-10 | 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 | 2018-02-01 | 2018-04-10 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-02-01 | 2018-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-01 | 2018-04-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-02-01 | 2018-04-10 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-02-01 | 2018-04-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-30 | 2018-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-30 | 2018-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-30 | 2018-04-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-01-30 | 2018-04-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-01-30 | 2018-04-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-30 | 2018-04-10 | N |
