A list of the most recent deficiencies for Carecore at Mary Scott. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-28 | 2023-12-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-30 | 2023-05-31 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-11 | 2023-01-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-20 | 2022-12-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-20 | 2022-12-30 | Y |
| 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 | 2022-07-11 | 2022-09-16 | N |
| 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 | 2022-07-11 | 2022-09-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-11 | 2022-09-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-11 | 2022-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-11 | 2022-09-16 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-07-21 | 2022-09-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-21 | 2022-09-08 | 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 | 2022-07-21 | 2022-09-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-21 | 2022-09-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-21 | 2022-09-08 | 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 | 2022-07-21 | 2022-09-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-07-21 | 2022-09-08 | N |
| Provide or obtain dental services for each resident. | Health | 2022-07-21 | 2022-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-21 | 2022-09-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-21 | 2022-09-08 | N |
| 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 | 2022-07-21 | 2022-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-21 | 2022-09-08 | Y |
| Report COVID19 data to residents and families. | Health | 2022-07-21 | 2022-09-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-11 | 2022-09-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-11 | 2022-09-07 | 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 | 2022-07-11 | 2022-09-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-11 | 2022-09-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-07-11 | 2022-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-11 | 2022-09-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-11 | 2022-09-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-11 | 2022-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-11 | 2022-09-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-07-11 | 2022-09-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-11 | 2022-09-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-07 | 2022-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-07 | 2022-06-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-16 | 2022-06-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-16 | 2022-06-10 | 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 | 2022-04-20 | 2022-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-25 | 2022-06-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-27 | 2022-06-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-09 | 2021-12-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-06 | 2019-07-08 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-06-06 | 2019-07-08 | 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 | 2019-06-06 | 2019-07-08 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-06-06 | 2019-07-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-06 | 2019-07-08 | 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 | 2019-06-06 | 2019-07-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-06 | 2019-07-08 | 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 | 2019-06-06 | 2019-07-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-06 | 2019-07-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-06 | 2019-07-08 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-06-06 | 2019-07-08 | 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 | 2019-06-06 | 2019-07-08 | 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 | 2019-06-06 | 2019-07-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-06-06 | 2019-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-06 | 2019-07-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-06-06 | 2019-07-08 | 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 | 2019-06-03 | 2019-07-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-03 | 2019-07-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-03 | 2019-07-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-03 | 2019-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-03 | 2019-07-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-03 | 2019-07-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-05-03 | 2018-06-08 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-05-03 | 2018-06-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-05-03 | 2018-06-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-03 | 2018-06-08 | 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 | 2018-05-03 | 2018-06-08 | 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 | 2018-05-03 | 2018-06-08 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-05-03 | 2018-06-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-03 | 2018-06-08 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-05-03 | 2018-06-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-05-03 | 2018-06-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-05-03 | 2018-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-03 | 2018-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-03 | 2018-06-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-30 | 2018-06-08 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-04-30 | 2018-06-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-30 | 2018-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-30 | 2018-06-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-30 | 2018-06-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-04-30 | 2018-06-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-30 | 2018-06-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-30 | 2018-06-08 | N |
