Deficiency Records for Majestic Gardens at Memphis Rehab and Snc
Updated as of April 01, 2024
A list of the most recent deficiencies for Majestic Gardens at Memphis Rehab and Snc. 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 | 2023-08-24 | 2024-01-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-24 | 2024-01-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-24 | 2024-01-30 | 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 | 2023-08-24 | 2024-01-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2024-01-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-24 | 2024-01-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-24 | 2023-09-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-24 | 2023-09-18 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-24 | 2023-09-18 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-09 | 2023-08-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-15 | 2023-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2023-04-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-15 | 2023-04-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-03-15 | 2023-04-26 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-15 | 2023-04-26 | 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 | 2022-07-12 | 2022-07-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-12 | 2022-07-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-12 | 2022-07-22 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-07-12 | 2022-07-22 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-07-12 | 2022-07-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-12 | 2022-07-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-27 | 2022-07-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-14 | 2022-04-18 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-14 | 2022-04-18 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-14 | 2022-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-05-24 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-04-29 | 2021-05-17 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-16 | 2019-08-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-18 | 2019-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-18 | 2019-08-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-16 | 2019-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-16 | 2019-08-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-16 | 2019-08-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-16 | 2019-08-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-18 | 2019-07-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-18 | 2019-07-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-18 | 2019-07-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-18 | 2019-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-18 | 2019-07-19 | 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 | 2019-07-18 | 2019-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-18 | 2019-07-19 | 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 | 2018-09-25 | 2018-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-25 | 2018-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-25 | 2018-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-25 | 2018-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-25 | 2018-10-10 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-10 | 2018-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-10 | 2018-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-10 | 2018-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-10 | 2018-10-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-09-10 | 2018-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-10 | 2018-10-10 | N |
| Hire a qualified dietician. | Health | 2017-08-24 | 2017-09-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-22 | 2017-09-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-08-22 | 2017-09-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-08-22 | 2017-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-22 | 2017-09-15 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-24 | 2017-09-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-24 | 2017-09-10 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-08-24 | 2017-09-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-24 | 2017-08-30 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-08-24 | 2017-08-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-08-22 | 2017-08-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-24 | 2017-08-25 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-24 | 2017-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-24 | 2017-08-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-24 | 2017-08-25 | N |
| Dispose of garbage and refuse properly. | Health | 2017-08-24 | 2017-08-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-24 | 2017-08-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-24 | 2017-08-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-08-22 | 2017-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-22 | 2017-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-22 | 2017-08-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-08-24 | 2017-08-24 | N |
