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Deficiency Records for Monarch Meadows Nursing and Rehabilitation

A list of the most recent deficiencies for Monarch Meadows Nursing and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Monarch Meadows Nursing and Rehabilitation. 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?
Honor the resident's right to manage his or her financial affairs. Health 2023-11-07 2023-12-22 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 2023-11-07 2023-12-22 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 2023-11-13 2023-12-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-13 2023-12-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-13 2023-12-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-11-13 2023-12-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-13 2023-12-22 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 2023-08-30 2023-09-29 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-07-08 2021-08-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-08 2021-08-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-08 2021-08-04 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2021-07-06 2021-08-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-07-06 2021-08-04 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-07-06 2021-08-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-07-06 2021-08-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-07-06 2021-08-04 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-07-06 2021-08-04 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-07-06 2021-08-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-07-06 2021-08-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-07-06 2021-08-04 N
Ensure each resident receives an accurate assessment. Health 2019-03-21 2019-06-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-03-21 2019-06-14 N
Provide and implement an infection prevention and control program. Health 2019-03-21 2019-06-14 N
Install a two-hour-resistant firewall separation. Fire Safety 2019-03-22 2019-06-14 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 2019-03-22 2019-06-14 N
Provide properly protected cooking facilities. Fire Safety 2019-03-22 2019-06-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-03-22 2019-06-14 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-03-22 2019-06-14 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-03-22 2019-06-14 N

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