Deficiency Records for Montesano Health - Rehab Center
Updated as of September 01, 2018
This is not the most recent data for Montesano Health - Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Montesano Health - Rehab 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-04-26 | 2018-06-11 | 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 | 2018-04-22 | 2018-06-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-22 | 2018-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-22 | 2018-06-04 | 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 | 2018-04-22 | 2018-06-04 | 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 | 2018-04-22 | 2018-06-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-26 | 2018-05-14 | N |
| 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 | 2018-01-11 | 2018-02-08 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-10-11 | 2017-11-07 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-11 | 2017-11-07 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-11 | 2017-11-07 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-09-21 | 2017-11-07 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-26 | 2017-08-13 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-05-04 | 2017-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-04 | 2017-06-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-04 | 2017-06-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-05-04 | 2017-06-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-05-04 | 2017-06-21 | N |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2017-05-12 | 2017-06-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-05-12 | 2017-06-19 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-05-12 | 2017-06-19 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-12 | 2017-06-19 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-05-12 | 2017-06-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-12 | 2017-06-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-05-12 | 2017-06-19 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-12 | 2017-06-19 | Y |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2017-03-17 | 2017-04-06 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-21 | 2017-03-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-21 | 2017-03-20 | Y |
| Tell 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 | 2016-08-22 | 2016-09-30 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-08-22 | 2016-09-30 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-22 | 2016-09-30 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-06-24 | 2016-08-02 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-24 | 2016-08-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-24 | 2016-08-02 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-06-24 | 2016-08-02 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-06-24 | 2016-08-02 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-06-24 | 2016-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-24 | 2016-08-02 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-24 | 2016-08-02 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-06-24 | 2016-08-02 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-24 | 2016-08-02 | Y |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-07 | 2016-07-13 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-09-22 | 2015-10-09 | Y |
