CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Marianwood Health and Rehabilitation
View the most recent health deficiencies and inspection results for Marianwood Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Marianwood Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Implement a program that monitors antibiotic use. | Health | 2025-11-21 | 2026-01-06 | 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 | 2025-11-21 | 2026-01-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-21 | 2026-01-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-21 | 2026-01-06 | 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 | 2025-11-21 | 2026-01-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-11-21 | 2026-01-06 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-11-21 | 2026-01-06 | 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 | 2025-11-21 | 2026-01-06 | 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 | 2025-11-21 | 2026-01-06 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-21 | 2025-12-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-02-28 | 2025-03-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-28 | 2025-03-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-25 | 2024-10-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-01 | 2024-09-09 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-08-01 | 2024-09-09 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-08-01 | 2024-09-09 | 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 | 2024-08-01 | 2024-09-09 | 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 | 2024-08-01 | 2024-09-09 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-01 | 2024-09-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-01 | 2024-09-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-08-01 | 2024-09-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-01 | 2024-09-09 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2024-08-01 | 2024-09-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-01 | 2024-09-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-01 | 2024-09-09 | 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 | 2024-08-01 | 2024-09-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-01 | 2024-09-09 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-01 | 2024-09-09 | 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 | 2024-08-01 | 2024-09-09 | 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 | 2024-08-01 | 2024-09-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-01 | 2024-09-09 | 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 | 2024-08-01 | 2024-09-09 | 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 | 2024-08-01 | 2024-09-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-08-01 | 2024-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-01 | 2024-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-01 | 2024-09-09 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-08-01 | 2024-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-01 | 2024-09-09 | Y |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Establish methods for sharing information. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-08-01 | 2024-08-29 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-04-12 | 2024-05-17 | Y |
| Keep all essential equipment working safely. | Health | 2023-04-25 | 2023-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-25 | 2023-06-07 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-25 | 2023-06-07 | 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 | 2023-04-25 | 2023-06-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-25 | 2023-06-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-25 | 2023-06-07 | 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 | 2023-04-25 | 2023-06-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-25 | 2023-06-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-25 | 2023-06-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-25 | 2023-06-07 | 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 | 2023-04-25 | 2023-06-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-25 | 2023-06-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-25 | 2023-05-26 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-04-25 | 2023-05-26 | N |