Deficiency Records for Monroeville Skilled Nursing and Rehabilitation Ctr
Updated as of April 01, 2024
A list of the most recent deficiencies for Monroeville Skilled Nursing and Rehabilitation Ctr. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-17 | 2024-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-17 | 2024-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-17 | 2024-03-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-17 | 2024-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-17 | 2024-03-17 | 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 | 2024-01-12 | 2024-02-20 | 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 | 2024-01-12 | 2024-02-20 | 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 | 2024-01-12 | 2024-02-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-02-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-12 | 2024-02-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-12 | 2024-02-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-12 | 2024-02-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-12 | 2024-02-20 | 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 | 2024-01-12 | 2024-02-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-12 | 2024-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-02-20 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-01-12 | 2024-02-20 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-01-12 | 2024-02-20 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-01-12 | 2024-02-20 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-01-12 | 2024-02-20 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-01-12 | 2024-02-20 | N |
| Provide training in compliance and ethics. | Health | 2024-01-12 | 2024-02-20 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-12 | 2024-02-20 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-01-12 | 2024-02-20 | 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 | 2023-12-22 | 2024-02-01 | Y |
| 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 | 2023-12-22 | 2024-02-01 | Y |
| Keep all essential equipment working safely. | Health | 2023-12-22 | 2024-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-01 | 2023-12-05 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-01 | 2023-12-05 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-08-30 | 2023-10-05 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-08-30 | 2023-10-05 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-20 | 2023-05-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-20 | 2023-05-29 | 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 | 2023-04-20 | 2023-05-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-20 | 2023-05-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-20 | 2023-05-29 | N |
| 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 | 2023-04-20 | 2023-05-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-20 | 2023-05-29 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-20 | 2023-05-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-04 | 2022-10-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-04 | 2022-09-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-27 | 2022-07-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-06-03 | 2022-07-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-03 | 2022-07-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-03 | 2022-07-01 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-28 | 2022-06-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-28 | 2022-06-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-28 | 2022-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-28 | 2022-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-28 | 2022-06-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-28 | 2022-06-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-04-29 | 2022-06-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-04-29 | 2022-06-17 | 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 | 2022-04-29 | 2022-06-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-29 | 2022-06-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-29 | 2022-06-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-29 | 2022-06-17 | 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 | 2022-04-29 | 2022-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-29 | 2022-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-29 | 2022-06-17 | 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 | 2022-04-29 | 2022-06-17 | 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 | 2022-03-24 | 2022-04-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-19 | 2021-09-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-21 | Not Fixed | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-21 | Not Fixed | Y |
