Deficiency Records for Altercare of Mayfield Village, Inc

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Updated as of March 01, 2024

A list of the most recent deficiencies for Altercare of Mayfield Village, Inc. 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-11-02 2023-11-20 N
Ensure that residents are free from significant medication errors. Health 2023-11-02 2023-11-20 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-11-02 2023-11-20 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-11-02 2023-11-20 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-10-31 2023-11-20 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-10-12 2023-10-23 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-01 2023-06-16 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-03-16 2023-04-14 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 2023-03-16 2023-04-14 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-16 2023-04-14 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-16 2023-04-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-11-08 2021-12-06 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-11-08 2021-12-06 Y
Ensure that residents are free from significant medication errors. Health 2021-11-08 2021-12-06 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-06-28 2021-09-20 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-06-28 2021-09-20 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 2021-06-28 2021-09-20 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 2021-06-28 2021-09-20 N
Provide enough food/fluids to maintain a resident's health. Health 2021-06-28 2021-09-20 Y
Ensure that residents are free from significant medication errors. Health 2021-06-28 2021-09-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-08-30 2021-09-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-30 2021-09-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-08-30 2021-09-20 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-08-30 2021-09-20 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-08-30 2021-09-20 Y
Provide and implement an infection prevention and control program. Health 2021-08-30 2021-09-20 Y
Use approved construction type or materials. Fire Safety 2021-06-29 2021-09-20 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-06-29 2021-09-20 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 2021-06-29 2021-09-20 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 2021-06-29 2021-09-20 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2021-06-29 2021-09-20 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-06-29 2021-09-20 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-06-29 2021-09-20 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-06-29 2021-09-20 N
Provide a written emergency evacuation plan. Fire Safety 2021-06-29 2021-09-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-06-29 2021-09-20 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 2021-05-07 2021-05-08 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2019-08-01 2019-09-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-07-30 2019-09-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-07-30 2019-09-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-07-30 2019-09-27 N