A list of the most recent deficiencies for Montgomery General Hospital. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-31 | 2023-12-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-31 | 2023-12-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-31 | 2023-12-21 | 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 |
| Reasonably accommodate the needs and preferences of each resident. | 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 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 |
| 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 |
| 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 |
| PASARR screening for Mental disorders or Intellectual Disabilities | 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 |
| 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 |
| Provide activities to meet all resident's needs. | 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 safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-01 | 2023-11-30 | N |
| Post nurse staffing information every day. | 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 |
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2023-11-01 | 2023-11-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-01 | 2023-11-30 | 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 |
| Ensure each resident receives an accurate assessment. | 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 |
| 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 |
| 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 |
| Provide safe and appropriate respiratory care for a resident when needed. | 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 |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-20 | 2022-05-12 | N |
| Report COVID19 data to residents and families. | Health | 2022-04-20 | 2022-05-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-19 | 2022-04-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-01-21 | 2021-02-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-01-21 | 2021-02-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-21 | 2021-02-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-01-20 | 2021-01-20 | N |
