A list of the most recent deficiencies for Mount Washington 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-05 | 2024-01-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-05 | 2024-01-29 | 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 | 2024-01-05 | 2024-01-29 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-01-05 | 2024-01-29 | Y |
| 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 | 2023-10-16 | 2023-11-13 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-16 | 2023-11-13 | 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 | 2023-02-08 | 2023-02-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-20 | 2023-02-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-20 | 2023-02-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-09-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-04 | 2022-03-18 | N |
| 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 | 2022-02-04 | 2022-03-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-04 | 2022-03-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-04 | 2022-03-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-04 | 2022-03-18 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-02-04 | 2022-03-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-04 | 2022-03-18 | 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 | 2022-02-04 | 2022-03-18 | 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 | 2022-02-04 | 2022-03-18 | 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 | 2022-02-04 | 2022-03-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-04 | 2022-03-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-04 | 2022-03-18 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-02-04 | 2022-03-18 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-02-04 | 2022-03-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-04 | 2022-03-18 | 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 | 2022-01-25 | 2022-03-18 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-01-25 | 2022-03-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-25 | 2022-03-18 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-01-25 | 2022-03-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-25 | 2022-03-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-01-25 | 2022-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-25 | 2022-03-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-01-25 | 2022-03-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-25 | 2022-03-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-25 | 2022-03-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-14 | 2021-11-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-14 | 2021-11-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-07 | 2021-11-02 | 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 | 2021-09-07 | 2021-11-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-07 | 2021-11-02 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-07 | 2021-11-02 | 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 | 2021-09-07 | 2021-11-02 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-14 | 2021-07-02 | 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 | 2019-04-18 | 2019-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-06-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-18 | 2019-06-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-15 | 2019-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-15 | 2019-06-01 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-04-15 | 2019-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-15 | 2019-06-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-22 | 2018-05-06 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-03-22 | 2018-05-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-22 | 2018-05-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-22 | 2018-05-06 | 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 | 2018-03-22 | 2018-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-22 | 2018-05-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-03-20 | 2018-05-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-20 | 2018-05-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-20 | 2018-05-06 | N |
