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Deficiency Records for Gardens of Mayfield Village
View the most recent health deficiencies and inspection results for Gardens of Mayfield Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Gardens of Mayfield Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2026-02-04 | 2026-02-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-04 | 2026-02-20 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-02-04 | 2026-02-20 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-02-04 | 2026-02-20 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-02-04 | 2026-02-20 | Y |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2026-02-04 | 2026-02-20 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2026-02-04 | 2026-02-20 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-04 | 2026-02-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-02-04 | 2026-02-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-27 | 2025-08-28 | Y |
| 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 | 2025-08-27 | 2025-08-28 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-08-27 | 2025-08-28 | 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 | 2025-05-29 | 2025-07-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-07-24 | 2025-07-25 | 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 | 2025-07-24 | 2025-07-25 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-05-29 | 2025-07-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-29 | 2025-07-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-29 | 2025-07-24 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2025-05-29 | 2025-07-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-05-29 | 2025-07-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-29 | 2025-07-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-29 | 2025-07-24 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2025-05-29 | 2025-07-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-29 | 2025-07-24 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-05-29 | 2025-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-29 | 2025-07-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-05-29 | 2025-07-24 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-29 | 2025-07-24 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-29 | 2025-07-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-29 | 2025-07-24 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-05-29 | 2025-07-24 | Y |
| Keep all essential equipment working safely. | Health | 2025-05-29 | 2025-07-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-05-29 | 2025-07-24 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-05-29 | 2025-07-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-29 | 2025-07-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-29 | 2025-07-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-29 | 2025-07-24 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-05-29 | 2025-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-29 | 2025-07-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-29 | 2025-07-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-29 | 2025-07-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-29 | 2025-07-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-29 | 2025-07-24 | Y |
| 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 | 2025-05-29 | 2025-07-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-29 | 2025-07-24 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2025-05-29 | 2025-07-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-29 | 2025-07-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-29 | 2025-07-24 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-05-29 | 2025-07-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-05-29 | 2025-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-29 | 2025-07-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-05-29 | 2025-07-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-05-29 | 2025-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-29 | 2025-07-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-29 | 2025-07-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-05-29 | 2025-07-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-29 | 2025-07-22 | 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 | 2025-05-29 | 2025-07-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-04-04 | 2024-08-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-08 | 2024-08-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-08 | 2024-08-28 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-08-08 | 2024-08-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-08 | 2024-08-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-08 | 2024-08-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-08 | 2024-08-28 | 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 | 2024-08-08 | 2024-08-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-02 | 2024-08-28 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-08-08 | 2024-08-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-02 | 2024-08-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-04 | 2024-08-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-05 | 2024-08-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-05 | 2024-08-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-08-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-04 | 2024-08-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-04 | 2024-08-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-02 | 2024-08-08 | 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 | 2024-04-04 | 2024-08-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-02 | 2024-08-08 | 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 | 2024-04-04 | 2024-08-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-02 | 2024-08-08 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-07-02 | 2024-08-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-09 | 2024-08-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-09 | 2024-08-08 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-04-04 | 2024-08-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-04 | 2024-08-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-07 | 2024-03-20 | Y |
| 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 | 2024-03-07 | 2024-03-20 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-03-07 | 2024-03-20 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-07 | 2024-03-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-07 | 2024-03-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-07 | 2024-03-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-06 | 2023-11-20 | Y |
| 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 | 2023-11-06 | 2023-11-20 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-11-06 | 2023-11-20 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-03-30 | 2023-05-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-30 | 2023-04-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-30 | 2023-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-03-30 | 2023-04-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-30 | 2023-04-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-30 | 2023-04-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-30 | 2023-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-30 | 2023-04-28 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-30 | 2023-04-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-30 | 2023-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-04-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-30 | 2023-04-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-30 | 2023-04-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-03-30 | 2023-04-28 | 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 | 2023-03-30 | 2023-04-28 | 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 | 2023-03-30 | 2023-04-28 | 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 | 2023-03-30 | 2023-04-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-30 | 2023-04-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-30 | 2023-04-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-30 | 2023-04-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-30 | 2023-04-28 | 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 | 2019-11-06 | 2020-01-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-06 | 2020-01-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-06 | 2020-01-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-06 | 2020-01-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-06 | 2020-01-13 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-11-06 | 2020-01-13 | 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 | 2019-11-06 | 2020-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-06 | 2020-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-06 | 2020-01-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-06 | 2020-01-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-06 | 2020-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-06 | 2020-01-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-06 | 2020-01-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-06 | 2020-01-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-06 | 2020-01-13 | 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 | 2019-11-06 | 2020-01-13 | 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 | 2019-11-06 | 2020-01-13 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-11-06 | 2019-12-20 | N |