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Deficiency Records for Main Street Care
View the most recent health deficiencies and inspection results for Main Street Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Main Street Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2026-01-08 | 2026-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-08 | 2026-01-19 | 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 | 2026-01-08 | 2026-01-19 | N |
| Request a waiver if it can't meet the nurse staffing requirements. | Health | 2026-01-08 | 2026-01-19 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2026-01-08 | 2026-01-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-01-08 | 2026-01-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-01-08 | 2026-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-14 | 2025-03-12 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-21 | 2024-10-25 | 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 | 2024-08-21 | 2024-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-21 | 2024-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-21 | 2024-10-25 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-08-21 | 2024-10-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-21 | 2024-10-25 | 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 | 2024-08-21 | 2024-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-21 | 2024-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-21 | 2024-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-21 | 2024-10-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-08-21 | 2024-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-21 | 2024-10-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-21 | 2024-10-07 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-08-21 | 2024-10-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-21 | 2024-10-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-21 | 2024-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-21 | 2024-10-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-21 | 2024-10-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-09 | 2022-12-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-09 | 2022-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-09 | 2022-12-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-09 | 2022-12-21 | N |