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Deficiency Records for Majestic Care of Whitehall
View the most recent health deficiencies and inspection results for Majestic Care of Whitehall. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Majestic Care of Whitehall. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-04-07 | 2026-05-15 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2026-04-07 | 2026-05-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-04-07 | 2026-05-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-04-07 | 2026-05-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-04-07 | 2026-05-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-04-07 | 2026-05-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-04-07 | 2026-05-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-04-07 | 2026-05-15 | 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 | 2026-04-07 | 2026-05-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-02 | 2025-01-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-06 | 2024-11-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-06 | 2024-11-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-11-06 | 2024-11-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-06 | 2024-11-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-06 | 2024-11-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-18 | 2024-10-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-18 | 2024-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-18 | 2024-10-17 | 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 | 2024-10-02 | 2024-10-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-02 | 2024-10-17 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-10-02 | 2024-10-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-02 | 2024-10-17 | Y |
| 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 | 2024-10-02 | 2024-10-17 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-10-02 | 2024-10-17 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-02 | 2024-10-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-02 | 2024-10-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-14 | 2024-10-17 | 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 | 2024-06-18 | 2024-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-23 | 2024-10-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-18 | 2024-10-02 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-06-18 | 2024-10-02 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-18 | 2024-10-02 | N |
| Provide appropriate foot care. | Health | 2024-06-18 | 2024-10-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-18 | 2024-10-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-06-18 | 2024-10-02 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-06-18 | 2024-10-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-06-18 | 2024-10-02 | 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 | 2024-06-18 | 2024-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-18 | 2024-10-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-18 | 2024-10-02 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-18 | 2024-10-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-14 | 2024-10-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-23 | 2024-10-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-23 | 2024-10-02 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-07-23 | 2024-10-02 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-06-18 | 2024-10-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-18 | 2024-10-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-18 | 2024-10-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-18 | 2024-07-26 | 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 | 2022-10-13 | 2022-11-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-13 | 2022-11-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-13 | 2022-11-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-13 | 2022-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-13 | 2022-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-13 | 2022-11-18 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-10-13 | 2022-11-18 | 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 | 2022-10-13 | 2022-11-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-13 | 2022-11-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-13 | 2022-11-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-13 | 2022-11-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-13 | 2022-11-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-13 | 2022-11-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-13 | 2022-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-13 | 2022-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-13 | 2022-11-18 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-13 | 2022-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-13 | 2022-11-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-13 | 2022-11-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-13 | 2022-11-18 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-13 | 2022-11-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-10-13 | 2022-11-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-13 | 2022-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-13 | 2022-11-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-13 | 2022-11-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-13 | 2022-11-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-13 | 2022-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-13 | 2022-11-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-13 | 2022-11-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-13 | 2022-11-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-13 | 2022-11-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-13 | 2022-11-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-13 | 2022-11-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-13 | 2022-11-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-21 | 2020-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-21 | 2019-12-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-11-21 | 2019-12-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-21 | 2019-12-05 | 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 | 2019-11-21 | 2019-12-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-21 | 2019-12-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-21 | 2019-12-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-21 | 2019-12-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-21 | 2019-12-05 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-11-21 | 2019-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-12-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-21 | 2019-12-05 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2019-11-21 | 2019-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-05 | 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 | 2019-11-21 | 2019-12-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-21 | 2019-12-05 | 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 | 2019-11-21 | 2019-12-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-21 | 2019-12-05 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-11-21 | 2019-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-21 | 2019-12-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-21 | 2019-12-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-21 | 2019-12-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-21 | 2019-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-21 | 2019-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-21 | 2019-12-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-21 | 2019-12-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-11-21 | 2019-12-05 | N |