Deficiency Records for Memorial Heights Nursing Center

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Updated as of May 01, 2024

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Deficiency Records for Memorial Heights Nursing Center

A list of the most recent deficiencies for Memorial Heights Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Memorial Heights Nursing Center. 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?
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-02-01 2024-02-29 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-02-01 2024-02-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-01 2024-02-29 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-02-01 2024-02-29 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 2024-02-01 2024-02-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-01 2024-02-29 N
Provide and implement an infection prevention and control program. Health 2024-02-01 2024-02-29 N
Implement a program that monitors antibiotic use. Health 2024-02-01 2024-02-29 N
Keep residents' personal and medical records private and confidential. Health 2024-01-17 2023-09-25 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-17 2023-09-05 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-12-01 2023-02-03 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-12-01 2023-02-03 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-12-01 2023-02-03 N
Ensure each resident receives an accurate assessment. Health 2022-12-01 2023-02-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-01 2023-02-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-01 2023-02-03 N
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. Health 2022-12-01 2023-02-03 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 2022-12-01 2023-02-03 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-12-01 2023-02-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-08-18 2021-09-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-08-18 2021-09-20 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 2021-08-18 2021-09-20 N
Provide and implement an infection prevention and control program. Health 2021-08-18 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 2021-08-17 2021-09-20 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-08-17 2021-09-20 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2021-08-17 2021-09-20 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-08-17 2021-09-20 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-08-17 2021-09-20 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-08-17 2021-09-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-05-14 2019-06-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-05-14 2019-06-12 N

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