A list of the most recent deficiencies for Ahc Mt Juliet. 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? |
|---|---|---|---|---|
| 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 | 2023-07-11 | 2023-07-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-06 | 2023-05-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-25 | 2022-11-08 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-10-25 | 2022-11-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-12 | 2022-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-15 | 2022-01-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-15 | 2022-01-18 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-15 | 2022-01-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-15 | 2022-01-18 | 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 | 2021-12-15 | 2022-01-18 | 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 | 2021-12-15 | 2022-01-18 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-12-15 | 2022-01-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-15 | 2022-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-15 | 2022-01-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-15 | 2022-01-18 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-12-06 | 2022-01-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-08 | 2021-10-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-06 | 2021-05-20 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-03-11 | 2021-04-15 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-03-11 | 2021-04-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-11 | 2021-04-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-10 | 2020-04-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-10 | 2020-04-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-10 | 2020-04-24 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-10 | 2020-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-10 | 2020-04-24 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-03-10 | 2020-04-24 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-03-10 | 2020-04-24 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-03-10 | 2020-04-24 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-03-10 | 2020-04-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-03-10 | 2020-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-04 | 2020-04-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-13 | 2019-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-13 | 2019-04-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-13 | 2019-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-13 | 2019-04-26 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-03-13 | 2019-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-13 | 2019-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-13 | 2019-04-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-11 | 2019-04-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-11 | 2019-04-18 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-11 | 2019-04-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-11 | 2019-04-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-11 | 2019-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-11 | 2019-03-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-11 | 2019-03-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-11 | 2019-03-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-11 | 2019-03-26 | N |
