A list of the most recent deficiencies for Als Mount Vernon 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-08 | 2023-03-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-08 | 2023-03-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-21 | 2022-06-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-04-19 | 2022-06-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-19 | 2022-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-19 | 2022-06-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-19 | 2022-06-17 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-04-19 | 2022-06-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-27 | 2019-08-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-27 | 2019-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-27 | 2019-08-09 | 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 | 2019-06-27 | 2019-08-09 | N |
| 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 | 2019-06-27 | 2019-08-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-27 | 2019-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-27 | 2019-08-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-24 | 2019-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-24 | 2019-08-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-05-23 | 2018-06-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-05-23 | 2018-06-14 | N |
| 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 | 2018-05-23 | 2018-06-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-23 | 2018-06-14 | 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 | 2018-05-23 | 2018-06-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-05-23 | 2018-06-14 | N |
