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Deficiency Records for Ivory Wellness Center
View the most recent health deficiencies and inspection results for Ivory Wellness Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ivory Wellness Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-02-18 | 2026-03-11 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-12-11 | 2026-01-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-12-03 | 2025-12-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-03 | 2025-12-30 | N |
| 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 | 2025-12-03 | 2025-12-23 | N |
| Keep all essential equipment working safely. | Health | 2025-12-03 | 2025-12-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-12-03 | 2025-12-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-03 | 2025-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-03 | 2025-12-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-12-03 | 2025-12-23 | N |
| Provide activities to meet all resident's needs. | Health | 2025-12-03 | 2025-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-03 | 2025-12-23 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-03 | 2025-12-23 | N |
| 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 | 2025-12-03 | 2025-12-23 | 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 | 2025-12-03 | 2025-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-31 | 2024-12-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-31 | 2024-12-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-31 | 2024-12-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-31 | 2024-12-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-10-31 | 2024-12-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-10-31 | 2024-12-02 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-10-31 | 2024-12-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-10-31 | 2024-12-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-10-31 | 2024-12-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-10-31 | 2024-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-31 | 2024-12-02 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-10-31 | 2024-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-31 | 2024-12-02 | 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 | 2024-10-31 | 2024-12-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-31 | 2024-12-02 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-10-31 | 2024-12-02 | 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 | 2024-10-31 | 2024-12-02 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-31 | 2024-12-02 | N |
| Keep all essential equipment working safely. | Health | 2024-09-10 | 2024-10-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-10 | 2024-10-02 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-10 | 2024-10-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-10 | 2024-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-30 | 2024-08-30 | Y |
| 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 | 2024-07-30 | 2024-08-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-30 | 2024-08-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-30 | 2024-08-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-30 | 2024-08-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-07-30 | 2024-08-30 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-16 | 2024-06-17 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-05-16 | 2024-06-17 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-22 | 2024-03-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-22 | 2024-02-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-22 | 2024-02-21 | N |
| Keep all essential equipment working safely. | Health | 2024-01-22 | 2024-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-22 | 2024-02-21 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-01-22 | 2024-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-22 | 2024-02-21 | N |
| 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 | 2024-01-22 | 2024-02-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-22 | 2024-02-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-22 | 2024-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-22 | 2024-02-21 | 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 | 2024-01-22 | 2024-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-22 | 2024-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-22 | 2024-02-21 | 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 | 2024-01-22 | 2024-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-22 | 2024-02-21 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-01-22 | 2024-02-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-01-22 | 2024-02-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-22 | 2024-02-21 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-01-22 | 2024-02-21 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-01-22 | 2024-02-21 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-22 | 2024-02-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-30 | 2023-11-30 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-30 | 2023-11-30 | 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 | 2023-11-08 | 2023-11-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-19 | 2023-08-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-21 | 2023-07-28 | Y |