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? |
|---|---|---|---|---|
| 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 |
