Deficiency Records for Mennonite Memorial Home
Updated as of November 01, 2020
This is not the most recent data for Mennonite Memorial Home. For the most recent information, click here.
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? |
---|---|---|---|---|
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 | 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 |
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 |
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 |
Keep residents' personal and medical records private and confidential. | Health | 2017-08-24 | 2017-10-05 | Y |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-08-24 | 2017-10-05 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-24 | 2017-10-05 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-24 | 2017-10-05 | Y |
Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-05-11 | 2017-07-07 | N |
Provide properly protected cooking facilities. | Fire Safety | 2017-05-11 | 2017-07-07 | N |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-05-10 | 2017-07-07 | N |