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Deficiency Records for Montgomery General Hospital
View the most recent health deficiencies and inspection results for Montgomery General Hospital. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Montgomery General Hospital. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep all essential equipment working safely. | Health | 2025-05-29 | 2025-07-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-05-29 | 2025-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-29 | 2025-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-29 | 2025-07-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-05-29 | 2025-07-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-29 | 2025-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-29 | 2025-07-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-29 | 2025-07-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-29 | 2025-07-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-05-29 | 2025-07-15 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-29 | 2025-07-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-29 | 2025-07-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-05-29 | 2025-07-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-05-29 | 2025-06-30 | N |
| Construct fire resistant interior walls. | Fire Safety | 2025-05-29 | 2025-06-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-29 | 2025-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-29 | 2025-06-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-29 | 2025-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-29 | 2025-06-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-01 | 2023-12-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-01 | 2023-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-01 | 2023-12-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-01 | 2023-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-01 | 2023-11-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-01 | 2023-11-30 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-11-01 | 2023-11-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-01 | 2023-11-30 | N |
| Post nurse staffing information every day. | Health | 2023-11-01 | 2023-11-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-01 | 2023-11-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-01 | 2023-11-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-01 | 2023-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-01 | 2023-11-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-01 | 2023-11-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-01 | 2023-11-30 | 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 | 2023-11-01 | 2023-11-30 | 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 | 2023-11-01 | 2023-11-30 | 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 | 2023-11-01 | 2023-11-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-01 | 2023-11-30 | 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 | 2023-11-01 | 2023-11-30 | N |
| Report COVID19 data to residents and families. | Health | 2022-04-20 | 2022-05-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-20 | 2022-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-20 | 2022-05-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-20 | 2022-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-20 | 2022-05-12 | 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 | 2022-04-20 | 2022-05-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-20 | 2022-05-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-20 | 2022-05-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-20 | 2022-05-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-20 | 2022-04-20 | N |