Deficiency Records for Montesano Health - Rehab Center
Updated as of July 01, 2020
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 residents are fully informed and understand their health status, care and treatments. | Health | 2020-01-28 | 2020-03-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-28 | 2020-03-05 | 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 | 2020-01-28 | 2020-03-05 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-28 | 2020-03-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-28 | 2020-03-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-28 | 2020-03-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-28 | 2020-03-05 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-01-28 | 2020-03-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-01-28 | 2020-03-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-28 | 2020-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-28 | 2020-03-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-28 | 2020-03-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-01-28 | 2020-03-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-22 | 2019-11-11 | Y |
| 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 | 2019-08-27 | 2019-09-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-27 | 2019-09-20 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-08-27 | 2019-09-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-30 | 2019-09-20 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-07-30 | 2019-09-20 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-07-30 | 2019-09-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-27 | 2019-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-27 | 2019-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-27 | 2019-05-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-27 | 2019-05-01 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2019-03-27 | 2019-05-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-04 | 2019-04-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-04 | 2019-04-25 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-03-25 | 2019-04-25 | 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 | 2019-03-25 | 2019-04-25 | 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 | 2019-03-25 | 2019-04-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-25 | 2019-04-25 | 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 | 2019-03-25 | 2019-04-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-03-25 | 2019-04-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-25 | 2019-04-25 | 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 | 2019-03-25 | 2019-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-25 | 2019-04-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-25 | 2019-04-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-25 | 2019-04-25 | 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 | 2019-03-25 | 2019-04-25 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-03-25 | 2019-04-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-17 | 2019-02-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-17 | 2019-02-08 | Y |
| 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 |
| 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 |
| 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 |
