A list of the most recent deficiencies for Mt Healthy Christian Home. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-10-13 | 2022-02-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-10-18 | 2021-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-18 | 2021-11-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-18 | 2021-11-05 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-13 | 2021-11-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-13 | 2021-11-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-10-13 | 2021-11-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-13 | 2021-11-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-13 | 2021-11-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-13 | 2021-11-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-14 | 2019-04-26 | 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 | 2019-03-14 | 2019-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-12 | 2019-04-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-12 | 2019-04-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-12 | 2019-04-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-12 | 2019-04-26 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-03-14 | 2019-04-05 | 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 | 2018-01-25 | 2018-02-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-01-25 | 2018-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-25 | 2018-02-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-01-23 | 2018-02-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-23 | 2018-02-23 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-01-23 | 2018-02-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-23 | 2018-02-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-23 | 2018-02-23 | N |
