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Deficiency Records for Marietta Heights Post Acute

View the most recent health deficiencies and inspection results for Marietta Heights Post Acute. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Marietta Heights Post Acute. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Keep all essential equipment working safely. Health 2026-03-09 2026-04-21 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-03-09 2026-04-21 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2025-09-15 2026-01-10 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2025-09-15 2025-12-04 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-09-15 2025-12-04 Y
Ensure each resident receives an accurate assessment. Health 2025-07-25 2025-08-13 Y
Provide and implement an infection prevention and control program. Health 2025-03-14 2025-08-13 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-03-14 2025-07-25 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-06-06 2025-07-25 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-06-06 2025-07-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-03-14 2025-06-25 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-03-14 2025-06-25 N
Provide enough food/fluids to maintain a resident's health. Health 2025-03-14 2025-06-25 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-05-15 2025-06-25 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2025-03-14 2025-06-25 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2025-03-14 2025-06-25 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-03-14 2025-06-25 N
Implement a program that monitors antibiotic use. Health 2025-03-14 2025-06-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-03-14 2025-06-25 Y
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2025-03-14 2025-05-15 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 2025-03-14 2025-05-15 N
Conduct testing and exercise requirements. Fire Safety 2025-03-14 2025-05-15 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-03-14 2025-05-15 Y
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2025-03-14 2025-05-15 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 2025-03-14 2025-05-15 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2025-03-14 2025-05-15 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2025-03-14 2025-05-15 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 2025-03-14 2025-05-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-03-14 2025-05-15 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2025-03-14 2025-05-15 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2025-03-14 2025-05-15 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-03-14 2025-05-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2025-03-14 2025-05-15 N
Ensure each resident receives an accurate assessment. Health 2025-03-14 2025-05-15 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2025-03-14 2025-05-15 N
Keep residents' personal and medical records private and confidential. Health 2025-03-14 2025-05-15 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 2025-03-14 2025-05-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-03-14 2025-05-15 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 2025-03-14 2025-05-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-03-14 2025-05-15 N
Ensure medication error rates are not 5 percent or greater. Health 2024-10-11 2025-02-12 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 2024-10-11 2025-01-15 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-10-11 2025-01-15 N
Construct fire resistant interior walls. Fire Safety 2024-10-11 2025-01-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-10-11 2025-01-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-11 2025-01-15 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-12-11 2025-01-15 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 2024-11-26 2025-01-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-11-26 2025-01-15 Y
Provide activities to meet all resident's needs. Health 2024-10-11 2024-11-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-10-11 2024-11-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-10-11 2024-11-26 N
Assist a resident in gaining access to vision and hearing services. Health 2024-10-11 2024-11-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-10-11 2024-11-26 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2024-10-11 2024-11-26 N
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 2024-10-11 2024-11-26 N
Provide and implement an infection prevention and control program. Health 2024-10-11 2024-11-26 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2024-10-11 2024-11-26 N
Provide or obtain dental services for each resident. Health 2024-10-11 2024-11-26 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2024-10-11 2024-11-26 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-10-11 2024-11-26 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 2024-10-11 2024-11-26 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-10-11 2024-11-26 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-10-11 2024-11-26 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 2024-10-11 2024-11-26 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-10-11 2024-11-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-10-11 2024-11-26 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-10-11 2024-11-26 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-10-11 2024-11-21 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-10-11 2024-11-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-10-11 2024-11-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-10-11 2024-11-21 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 2024-10-11 2024-11-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-18 2024-07-11 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-04-18 2024-07-11 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 2024-04-18 2024-07-11 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-04-18 2024-07-11 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-18 2024-07-11 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-04-18 2024-07-11 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-04-18 2024-07-11 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-04-18 2024-07-11 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-04-18 2024-07-11 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-04-18 2024-07-11 Y
Ensure that residents are free from significant medication errors. Health 2024-04-18 2024-07-11 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-04-18 2024-07-11 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-04-18 2024-07-11 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2024-04-18 2024-07-11 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-18 2024-07-11 Y
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Health 2024-04-18 2024-07-11 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2024-04-18 2024-07-11 Y
Provide and implement an infection prevention and control program. Health 2024-04-18 2024-07-11 Y
Implement a program that monitors antibiotic use. Health 2024-04-18 2024-07-11 Y
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-04-18 2024-07-11 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-04-18 2024-07-11 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2024-04-18 2024-07-11 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-06-10 2024-07-11 Y
Post nurse staffing information every day. Health 2024-06-10 2024-07-11 Y
Provide appropriate foot care. Health 2024-06-10 2024-07-11 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-06-10 2024-07-11 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-04-18 2024-07-11 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-04-18 2024-07-11 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-04-18 2024-07-11 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 2024-04-18 2024-07-11 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-04-18 2024-07-11 Y
Keep residents' personal and medical records private and confidential. Health 2024-04-18 2024-07-11 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 2024-04-18 2024-07-11 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-04-18 2024-07-11 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-04-18 2024-07-11 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 2024-04-18 2024-07-11 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-04-18 2024-07-11 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-18 2024-07-11 Y
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 2023-02-03 2023-02-22 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 2023-02-03 2023-02-22 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-02-03 2023-02-22 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 2023-02-03 2023-02-22 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-02-03 2023-02-22 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-02-03 2023-02-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-03 2023-02-22 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-02-03 2023-02-22 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-02-03 2023-02-22 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-03 2023-02-22 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-02-03 2023-02-22 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-02-03 2023-02-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-02-03 2023-02-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-02-03 2023-02-22 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-02-03 2023-02-22 N

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