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Deficiency Records for Montgomery Subacute and Respiratory Center
View the most recent health deficiencies and inspection results for Montgomery Subacute and Respiratory Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Montgomery Subacute and Respiratory Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-02-11 | 2026-03-11 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-09 | 2025-06-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-05-09 | 2025-06-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-09 | 2025-06-23 | 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 | 2025-05-09 | 2025-06-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-05-09 | 2025-06-16 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-09 | 2025-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-02 | 2025-05-01 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-07-19 | 2024-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-19 | 2024-09-13 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-07-19 | 2024-09-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-19 | 2024-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-19 | 2024-09-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-19 | 2024-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-19 | 2024-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-19 | 2024-08-20 | 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 | 2024-07-19 | 2024-08-20 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-07-19 | 2024-08-20 | 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 | 2024-07-19 | 2024-08-20 | 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 | 2024-07-19 | 2024-08-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-19 | 2024-08-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-19 | 2024-08-20 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-07-19 | 2024-08-20 | 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 | 2024-07-19 | 2024-08-20 | N |
| Respond appropriately to all alleged violations. | Health | 2024-07-19 | 2024-08-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-07-19 | 2024-08-20 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-07-19 | 2024-08-20 | N |
| 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 | 2024-07-19 | 2024-08-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-19 | 2024-08-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-19 | 2024-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-05 | 2023-11-30 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-05 | 2023-11-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-10-05 | 2023-11-30 | 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 | 2023-10-05 | 2023-11-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-05 | 2023-11-03 | Y |