A list of the most recent deficiencies for Memorial Medical Nursing Center. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-25 | 2024-03-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-03-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-25 | 2024-03-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-03-01 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-01-25 | 2024-02-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-10 | 2023-04-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-10 | 2023-04-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-10 | 2023-04-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-10 | 2023-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-10 | 2023-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-10 | 2023-04-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-03-10 | 2023-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-08 | 2023-04-12 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-03-08 | 2023-04-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-08 | 2023-03-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-08 | 2023-03-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-15 | 2022-08-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-15 | 2022-08-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-15 | 2022-08-15 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-19 | 2022-03-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-13 | 2022-02-11 | 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 | 2022-01-13 | 2022-02-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-13 | 2022-02-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-13 | 2022-02-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-02-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-13 | 2022-02-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-19 | 2022-02-10 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-01-19 | 2022-01-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-19 | 2022-01-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-15 | 2021-11-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-15 | 2021-11-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-15 | 2021-11-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-27 | 2021-10-28 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-10-27 | 2021-10-28 | 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 | 2021-10-27 | 2021-10-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-16 | 2021-09-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-16 | 2021-09-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-16 | 2021-09-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-07 | 2021-09-08 | Y |
| Report COVID19 data to residents and families. | Health | 2021-09-07 | 2021-09-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-03 | 2021-06-11 | 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 | 2021-06-03 | 2021-06-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-01-08 | 2021-02-22 | 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 | 2021-01-08 | 2021-02-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-01-08 | 2021-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-08 | 2021-02-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-01-05 | 2021-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-05 | 2021-02-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-01-05 | 2021-02-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-01-08 | 2021-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-08 | 2021-01-29 | N |
| Dispose of garbage and refuse properly. | Health | 2021-01-08 | 2021-01-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-01-08 | 2021-01-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-01-08 | 2021-01-11 | N |
| Respond appropriately to all alleged violations. | Health | 2021-01-08 | 2021-01-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-01-08 | 2021-01-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-01-05 | Not Fixed | N |
