Deficiency Records for Mercer Healthcare Center
Updated as of November 01, 2020
This is not the most recent data for Mercer Healthcare Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 | 2020-02-04 | 2020-02-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-04 | 2020-02-27 | 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 | 2020-02-04 | 2020-02-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-04 | 2020-02-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-04 | 2020-02-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-04 | 2020-02-27 | 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 | 2020-02-04 | 2020-02-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-04 | 2020-02-27 | 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 | 2020-02-04 | 2020-02-27 | 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 | 2020-02-04 | 2020-02-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-04 | 2020-02-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-04 | 2020-02-27 | 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 | 2020-02-04 | 2020-02-27 | 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 | 2020-02-04 | 2020-02-27 | 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 | 2020-02-04 | 2020-02-27 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-02-04 | 2020-02-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-04 | 2020-02-27 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-02-04 | 2020-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-04 | 2020-02-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-04 | 2020-02-27 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-11-29 | 2019-01-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-11-29 | 2019-01-29 | 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 | 2018-11-29 | 2019-01-29 | 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 | 2018-11-29 | 2019-01-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-29 | 2019-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-29 | 2019-01-29 | 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 | 2018-11-29 | 2019-01-29 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-11-29 | 2019-01-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-29 | 2019-01-29 | 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 | 2018-11-29 | 2019-01-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-29 | 2019-01-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-11-29 | 2019-01-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-29 | 2019-01-29 | 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 | 2018-11-29 | 2019-01-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-29 | 2019-01-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-11-29 | 2019-01-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-11-27 | 2019-01-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-11-27 | 2018-11-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-04-19 | 2018-06-06 | Y |
| 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 | 2018-04-19 | 2018-06-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-19 | 2018-06-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-04-19 | 2018-06-06 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-04-19 | 2018-06-06 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-04-19 | 2018-06-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-04-19 | 2018-06-06 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-10 | 2017-12-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-10 | 2017-12-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-10 | 2017-12-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-10 | 2017-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-11-08 | 2017-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-08 | 2017-11-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-11-08 | 2017-11-08 | N |
