A list of the most recent deficiencies for Marquis Mt Tabor. 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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-18 | 2023-01-07 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-11-18 | 2023-01-07 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-11-18 | 2023-01-07 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-18 | 2023-01-07 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-18 | 2023-01-07 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-18 | 2023-01-07 | N |
Provide appropriate foot care. | Health | 2022-11-18 | 2023-01-07 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2023-01-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-18 | 2023-01-07 | N |
Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2023-01-07 | N |
Install noncombustible or limited-combustible interior walls. | Fire Safety | 2022-11-16 | 2023-01-07 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-11-16 | 2023-01-07 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-16 | 2023-01-07 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-16 | 2023-01-07 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-02 | 2022-09-21 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-02 | 2022-09-21 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-02 | 2022-09-21 | Y |
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 | 2021-12-07 | 2022-01-26 | 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 | 2021-12-07 | 2022-01-26 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-07 | 2022-01-26 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-07 | 2022-01-26 | N |
Install noncombustible or limited-combustible interior walls. | Fire Safety | 2021-12-01 | 2022-01-26 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-01 | 2022-01-26 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-12-01 | 2022-01-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-01 | 2022-01-26 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-01 | 2022-01-26 | N |
Meet other general requirements. | Fire Safety | 2021-12-01 | 2022-01-26 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-14 | 2021-06-03 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-14 | 2021-06-03 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-14 | 2021-06-03 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-14 | 2021-06-03 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-04-14 | 2021-06-03 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-14 | 2021-06-03 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-14 | 2021-06-03 | Y |
Ensure that residents are free from significant medication errors. | Health | 2021-04-14 | 2021-06-03 | Y |
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-04-14 | 2021-06-03 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-14 | 2021-06-03 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-04-14 | 2021-06-03 | Y |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-04-14 | 2021-06-03 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-11-14 | 2018-12-31 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-11-14 | 2018-12-31 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-11-14 | 2018-12-31 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-14 | 2018-12-31 | 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 | 2018-11-14 | 2018-12-31 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-14 | 2018-12-31 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-14 | 2018-12-31 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-11-14 | 2018-12-31 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-14 | 2018-12-31 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-14 | 2018-12-31 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-10-31 | 2018-12-31 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-10-31 | 2018-12-31 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-31 | 2018-12-31 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-31 | 2018-12-31 | N |