A list of the most recent deficiencies for Mabry Health Care. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-01 | 2023-09-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-17 | 2020-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-17 | 2020-04-02 | 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 | 2020-03-18 | 2020-04-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Establish methods for sharing information. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-17 | 2020-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-05 | 2019-03-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-05 | 2019-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-04 | 2019-03-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-03-04 | 2019-03-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-04 | 2019-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-12 | 2018-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-12 | 2018-03-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-12 | 2018-03-29 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-03-12 | 2018-03-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-14 | 2018-03-15 | 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 | 2018-03-14 | 2018-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-14 | 2018-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-14 | 2018-03-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-03-12 | 2018-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-03-12 | 2018-03-15 | N |
