A list of the most recent deficiencies for Mennonite Memorial 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? |
|---|---|---|---|---|
| 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 | 2023-11-14 | 2023-11-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-21 | 2023-09-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-09 | 2023-06-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-09 | 2023-06-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-09 | 2023-06-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-01-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-15 | 2023-01-06 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-12-15 | 2023-01-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-08 | 2022-08-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-08 | 2022-08-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-08 | 2022-08-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-08 | 2022-08-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-08 | 2022-08-25 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-08-08 | 2022-08-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-08-02 | 2022-08-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-02 | 2022-08-25 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-31 | 2022-04-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-29 | 2019-10-18 | 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 | 2019-08-29 | 2019-10-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-29 | 2019-10-18 | 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 | 2019-08-29 | 2019-10-18 | 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 | 2019-08-29 | 2019-10-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-28 | 2019-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-28 | 2019-10-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-28 | 2019-10-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-19 | 2018-08-31 | 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 | 2018-07-19 | 2018-08-31 | 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 | 2018-07-19 | 2018-08-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-17 | 2018-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-17 | 2018-08-31 | N |
