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Deficiency Records for Marlow Nursing and Rehab
View the most recent health deficiencies and inspection results for Marlow Nursing and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Marlow Nursing and Rehab. Stay informed about quality of care issues.
| 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 | 2025-11-24 | 2025-12-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-11-24 | 2025-12-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-24 | 2025-12-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-24 | 2025-12-30 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-11-24 | 2025-12-30 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2025-11-24 | 2025-12-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-11-24 | 2025-12-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-26 | 2025-12-30 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-24 | 2025-12-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-11-24 | 2025-12-30 | 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 | 2024-10-23 | 2024-11-20 | 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 | 2024-10-23 | 2024-11-20 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-10-23 | 2024-11-20 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-28 | 2024-08-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-28 | 2024-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-28 | 2024-08-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-28 | 2024-08-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-06-28 | 2024-08-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-28 | 2024-08-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-28 | 2024-08-10 | 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 | 2024-06-28 | 2024-08-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-06-28 | 2024-08-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-28 | 2024-08-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-28 | 2024-08-10 | 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 | 2024-06-28 | 2024-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-28 | 2024-08-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-28 | 2024-08-10 | N |
| 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 | 2024-06-28 | 2024-08-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-02 | 2024-03-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-02 | 2024-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-20 | 2023-12-20 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-18 | 2023-09-08 | 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 | 2023-05-18 | 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 |