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Deficiency Records for Life Care Center of Mount Vernon
View the most recent health deficiencies and inspection results for Life Care Center of Mount Vernon. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Life Care Center of Mount Vernon. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-04-09 | 2026-05-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-23 | 2026-05-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-04-23 | 2026-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-12 | 2026-03-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-18 | 2025-12-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-18 | 2025-12-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-11-18 | 2025-12-31 | 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 | 2025-09-11 | 2025-10-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-09-11 | 2025-10-22 | Y |
| 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 | 2025-07-31 | 2025-08-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-07-31 | 2025-08-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-07-31 | 2025-08-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-20 | 2025-06-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-20 | 2025-06-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-20 | 2025-06-13 | Y |
| 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 | 2025-04-09 | 2025-06-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-04-09 | 2025-06-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-09 | 2025-06-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-09 | 2025-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-09 | 2025-06-09 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-04-09 | 2025-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-09 | 2025-06-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-09 | 2025-06-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-09 | 2025-06-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-04-09 | 2025-06-09 | 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 | 2025-04-09 | 2025-06-09 | 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 | 2025-04-09 | 2025-06-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-04-09 | 2025-06-09 | 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 | 2025-04-09 | 2025-06-09 | 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 | 2025-04-09 | 2025-06-09 | 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 | 2025-04-09 | 2025-06-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-04-09 | 2025-06-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-04-09 | 2025-06-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-04-09 | 2025-06-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-09 | 2025-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-09 | 2025-06-09 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-04-09 | 2025-06-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-09 | 2025-06-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-09 | 2025-06-09 | N |
| Provide activities to meet all resident's needs. | Health | 2025-04-09 | 2025-06-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-04-09 | 2025-06-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-04-09 | 2025-06-09 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-04-09 | 2025-05-16 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-04-09 | 2025-05-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-04-09 | 2025-05-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-04-09 | 2025-04-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-17 | 2025-04-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-06 | 2024-08-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-06 | 2024-08-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-01 | 2024-07-05 | 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 | 2024-05-01 | 2024-07-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-01 | 2024-07-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-01 | 2024-07-05 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-05-01 | 2024-07-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-01 | 2024-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-01 | 2024-07-05 | 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 | 2024-05-01 | 2024-07-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-01 | 2024-07-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-01 | 2024-07-05 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-05-01 | 2024-07-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-01 | 2024-07-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-01 | 2024-07-05 | N |
| Provide or obtain dental services for each resident. | Health | 2024-05-01 | 2024-07-05 | 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 | 2024-05-01 | 2024-07-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-05-01 | 2024-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-01 | 2024-07-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-01 | 2024-07-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-01 | 2024-07-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-01 | 2024-07-05 | 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 | 2024-05-01 | 2024-07-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-05-01 | 2024-05-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-01 | 2024-05-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-01 | 2024-05-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-01 | 2024-05-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-01 | 2024-05-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-01 | 2024-05-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-05-01 | 2024-05-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-20 | 2024-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-04 | 2024-01-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-17 | 2023-11-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-17 | 2023-11-30 | 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 | 2023-10-17 | 2023-11-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-17 | 2023-11-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-17 | 2023-11-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-17 | 2023-11-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-17 | 2023-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-30 | 2023-07-27 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-19 | 2023-07-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-05-19 | 2023-07-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-19 | 2023-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-19 | 2023-07-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-19 | 2023-06-26 | 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 | 2023-05-19 | 2023-06-26 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-05-19 | 2023-06-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-19 | 2023-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-06-26 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-05-19 | 2023-06-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-19 | 2023-06-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-19 | 2023-06-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-19 | 2023-06-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-19 | 2023-06-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-19 | 2023-06-26 | 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 | 2023-05-19 | 2023-06-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-06-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-19 | 2023-06-26 | 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 | 2023-05-19 | 2023-06-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-19 | 2023-06-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-19 | 2023-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-19 | 2023-06-25 | N |
| Develop a communication plan. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Establish methods for sharing information. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-05-19 | 2023-06-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-19 | 2023-06-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-19 | 2023-05-22 | N |
| Meet other general requirements. | Fire Safety | 2023-05-19 | 2023-05-22 | N |