A list of the most recent deficiencies for Marysville Care 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 Emergency Preparedness policies and procedures. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-09-13 | 2023-10-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-09-13 | 2023-10-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-13 | 2023-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-13 | 2023-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-13 | 2023-10-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-09-13 | 2023-10-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-15 | 2023-10-04 | 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 | 2023-09-15 | 2023-10-04 | 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 | 2023-09-15 | 2023-10-04 | 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 | 2023-09-15 | 2023-10-04 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-09-15 | 2023-10-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-15 | 2023-10-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-30 | 2023-09-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-30 | 2023-09-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-10 | 2023-05-31 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-05-10 | 2023-05-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-10 | 2023-05-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-10 | 2023-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-05-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-10 | 2023-05-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-05-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-19 | 2023-05-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-19 | 2023-05-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-03 | 2023-04-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-03 | 2023-04-26 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-02-27 | 2023-03-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-27 | 2023-03-21 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-02-27 | 2023-03-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-03 | 2022-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-12-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-03 | 2022-12-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-21 | 2022-08-22 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-03-16 | 2022-05-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-16 | 2022-05-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-16 | 2022-05-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-16 | 2022-05-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-16 | 2022-05-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-16 | 2022-05-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-16 | 2022-05-02 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-16 | 2022-05-02 | 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 | 2022-03-16 | 2022-05-02 | N |
| 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 | 2022-03-16 | 2022-05-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-16 | 2022-05-02 | 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 | 2022-03-16 | 2022-05-02 | N |
| Post nurse staffing information every day. | Health | 2022-03-16 | 2022-05-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-16 | 2022-05-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-16 | 2022-05-02 | 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 | 2022-03-16 | 2022-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-16 | 2022-05-02 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2022-03-16 | 2022-05-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-16 | 2022-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-05-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-16 | 2022-05-02 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-16 | 2022-05-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-16 | 2022-05-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-16 | 2022-05-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-16 | 2022-05-02 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-03-16 | 2022-05-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-01 | 2022-03-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-01 | 2022-03-30 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-03-01 | 2022-03-30 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-03-01 | 2022-03-30 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-03 | 2022-03-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-03 | 2022-03-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-03 | 2022-03-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-03 | 2022-03-28 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-10-25 | 2021-11-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-25 | 2021-11-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-30 | 2021-08-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-30 | 2021-04-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-24 | 2019-06-03 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-24 | 2019-06-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-04-24 | 2019-06-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-04-24 | 2019-06-03 | 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 | 2019-04-24 | 2019-06-03 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-24 | 2019-06-03 | 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 | 2019-04-24 | 2019-06-03 | N |
| Post nurse staffing information every day. | Health | 2019-04-24 | 2019-06-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-04-24 | 2019-06-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-24 | 2019-06-03 | 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 | 2019-04-24 | 2019-06-03 | 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 | 2019-04-24 | 2019-06-03 | N |
| Provide or obtain dental services for each resident. | Health | 2019-04-24 | 2019-06-03 | 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 and emergencies. | Health | 2019-04-24 | 2019-06-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-24 | 2019-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-24 | 2019-06-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-24 | 2019-06-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-17 | 2019-05-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-17 | 2019-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-17 | 2019-05-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-17 | 2019-05-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-17 | 2019-05-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-17 | 2019-05-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-17 | 2019-05-22 | N |
