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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-02-23 | 2024-04-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-23 | 2024-04-13 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-02-23 | 2024-04-13 | Y |
| 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 | 2024-02-23 | 2024-04-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-02-23 | 2024-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-23 | 2024-04-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-02-23 | 2024-04-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-23 | 2024-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-23 | 2024-04-13 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-23 | 2024-04-13 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-02-23 | 2024-04-13 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-02-21 | 2024-04-13 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2024-02-21 | 2024-04-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-21 | 2024-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-21 | 2024-04-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-21 | 2024-04-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-21 | 2024-04-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-21 | 2024-04-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-21 | 2024-04-13 | N |
| 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 |
