Deficiency Records for The Gardens at Millville

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Updated as of May 01, 2024

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Deficiency Records for The Gardens at Millville

A list of the most recent deficiencies for The Gardens at Millville. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for The Gardens at Millville. 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?
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-02-15 2024-04-12 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-02-15 2024-04-12 Y
Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. Health 2024-01-12 2024-02-15 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-12 2024-02-15 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-01-12 2024-02-15 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-31 2023-07-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-31 2023-07-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-05-31 2023-07-05 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-05-31 2023-07-05 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2023-05-31 2023-07-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-05-12 2023-06-20 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-05-12 2023-06-20 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-05-12 2023-06-20 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 2023-05-12 2023-06-20 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-05-12 2023-06-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-12 2023-06-20 N
Provide a neutral and fair arbitration process and agree to arbitrator and venue. Health 2023-05-12 2023-06-20 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-05-12 2023-06-20 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 2023-05-12 2023-06-20 Y
Perform COVID19 testing on residents and staff. Health 2023-02-22 2023-03-17 Y
Ensure staff are vaccinated for COVID-19 Health 2023-02-22 2023-03-17 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-02-22 2023-03-17 Y
Respond appropriately to all alleged violations. Health 2022-08-23 2022-09-16 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-08-23 2022-09-16 Y
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 2022-06-28 2022-07-29 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-06-28 2022-07-29 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-06-28 2022-07-29 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-06-28 2022-07-29 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-06-17 2022-07-18 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-17 2022-07-18 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-06-17 2022-07-18 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2022-06-17 2022-07-18 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-06-17 2022-07-18 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-17 2022-07-18 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-04-27 2022-06-17 Y
Provide and implement an infection prevention and control program. Health 2021-11-02 2021-11-29 N
Have exits that are accessible at all times. Fire Safety 2021-08-25 2021-09-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-25 2021-09-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-08-25 2021-09-24 N
Give the resident's representative the ability to exercise the resident's rights. Health 2021-08-13 2021-09-20 Y
Ensure each resident receives an accurate assessment. Health 2021-08-13 2021-09-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-08-13 2021-09-20 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 2021-08-13 2021-09-20 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 2021-08-13 2021-09-20 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 2021-08-13 2021-09-20 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2021-08-13 2021-09-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-13 2021-09-20 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 2024-02-15 Not Fixed Y

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