A list of the most recent deficiencies for Mercer Healthcare 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-22 | 2023-10-31 | 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 | 2023-08-22 | 2023-10-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-22 | 2023-10-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-22 | 2023-10-31 | 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 | 2023-08-22 | 2023-10-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-22 | 2023-10-31 | 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 | 2023-08-22 | 2023-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-22 | 2023-10-31 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-08-22 | 2023-10-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-22 | 2023-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-22 | 2023-10-31 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-22 | 2023-10-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-22 | 2023-10-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-22 | 2023-10-31 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-22 | 2023-10-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-22 | 2023-10-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-22 | 2023-10-31 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-08-22 | 2023-10-31 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-22 | 2023-10-31 | 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 | 2023-08-22 | 2023-10-31 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-22 | 2023-10-31 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-08-22 | 2023-10-31 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-08-22 | 2023-10-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-22 | 2023-10-31 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-15 | 2023-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-15 | 2023-10-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-15 | 2023-06-19 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-28 | 2022-08-17 | 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 | 2022-06-29 | 2022-08-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-06-29 | 2022-08-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-29 | 2022-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-29 | 2022-08-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-29 | 2022-08-09 | 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 | 2022-06-29 | 2022-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-29 | 2022-08-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-29 | 2022-08-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-18 | 2022-04-20 | 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 | 2022-04-18 | 2022-04-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-30 | 2022-04-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-04-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-04-20 | Y |
| 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 | 2022-03-30 | 2022-04-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-30 | 2022-04-20 | 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 | 2022-03-30 | 2022-04-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-30 | 2022-04-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-14 | 2021-12-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-14 | 2021-12-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-19 | 2021-09-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-19 | 2021-09-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-19 | 2021-09-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-19 | 2021-09-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-19 | 2021-09-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-19 | 2021-09-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-19 | 2021-09-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-19 | 2021-09-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-19 | 2021-09-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-19 | 2021-09-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-19 | 2021-09-17 | 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 | 2021-08-19 | 2021-09-17 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-19 | 2021-09-17 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-08-19 | 2021-09-17 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-08-19 | 2021-09-17 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-08-19 | 2021-09-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-19 | 2021-09-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-17 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-08-19 | 2021-09-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-08-19 | 2021-09-17 | Y |
| 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 | 2021-03-18 | 2021-05-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-18 | 2021-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-18 | 2021-05-10 | N |
| Respond appropriately to all alleged violations. | Health | 2021-03-18 | 2021-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-18 | 2021-05-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-18 | 2021-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-18 | 2021-05-10 | 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 | 2021-03-18 | 2021-05-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-18 | 2021-05-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-03-18 | 2021-05-10 | 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 | 2021-03-18 | 2021-05-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-18 | 2021-05-10 | 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 | 2021-03-18 | 2021-05-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-03-18 | 2021-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-18 | 2021-05-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-03-16 | 2021-03-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-16 | 2021-03-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-16 | 2021-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-16 | 2021-03-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-16 | 2021-03-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-03-16 | 2021-03-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-16 | 2021-03-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-16 | 2021-03-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-03-16 | 2021-03-24 | N |
