Deficiency Records for Mennonite Home
Updated as of June 01, 2019
This is not the most recent data for Mennonite Home. For the most recent information, click here.
A list of the most recent deficiencies for Mennonite Home. 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? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2019-01-31 | 2019-03-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-31 | 2019-03-22 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2019-01-31 | 2019-03-22 | 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 | 2019-01-31 | 2019-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-31 | 2019-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-31 | 2019-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-31 | 2019-03-22 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2017-09-05 | 2017-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-05 | 2017-10-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-09-05 | 2017-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-05 | 2017-10-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-09-11 | 2017-10-31 | N |
| Provide housekeeping and maintenance services. | Health | 2017-09-11 | 2017-10-31 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-09-11 | 2017-10-31 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-11 | 2017-10-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-11 | 2017-10-31 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-11 | 2017-10-31 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-11 | 2017-10-31 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-09-11 | 2017-10-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-11 | 2017-10-31 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-11 | 2017-10-31 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-23 | 2016-08-07 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-06-23 | 2016-08-07 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-23 | 2016-08-07 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-06-23 | 2016-08-07 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-06-23 | 2016-08-07 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-23 | 2016-08-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-17 | 2016-08-06 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-17 | 2016-08-06 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-17 | 2016-08-06 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-06-17 | 2016-08-06 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-17 | 2016-08-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-17 | 2016-08-06 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-17 | 2016-08-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-17 | 2016-08-06 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-06-17 | 2016-08-06 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-06-17 | 2016-08-06 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-06-17 | 2016-08-06 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-17 | 2016-08-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-17 | 2016-08-06 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-06-17 | 2016-08-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-17 | 2016-08-06 | N |
