A list of the most recent deficiencies for Marlow Nursing and Rehab. 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-10 | 2023-09-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-10 | 2023-09-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-05-18 | 2023-06-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-18 | 2023-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-06-23 | 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 | 2023-05-18 | 2023-06-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-18 | 2023-06-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-17 | 2022-04-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-10 | 2021-12-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-11-10 | 2021-12-02 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-09 | 2021-12-02 | 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 | 2021-11-09 | 2021-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-09 | 2021-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-09 | 2021-12-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-09 | 2021-12-02 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-08-24 | 2021-09-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-22 | 2020-03-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-22 | 2020-03-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-01-22 | 2020-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-22 | 2020-03-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-22 | 2020-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-22 | 2020-03-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-22 | 2020-03-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-22 | 2020-03-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-01-23 | 2020-03-20 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-01-23 | 2020-03-20 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-01-23 | 2020-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-23 | 2020-03-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-01-23 | 2020-03-20 | N |
