CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Mercy Health Services
View the most recent health deficiencies and inspection results for Mercy Health Services. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mercy Health Services. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-02 | 2026-03-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-03 | 2025-12-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-03 | 2025-12-16 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-05-21 | 2025-06-21 | 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 | 2025-05-21 | 2025-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-21 | 2025-06-21 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2025-05-21 | 2025-06-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-21 | 2025-06-21 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-05-21 | 2025-06-21 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-21 | 2025-06-21 | 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 | 2024-09-19 | 2024-10-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-19 | 2024-10-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-19 | 2024-10-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-05 | 2024-09-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-05 | 2024-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-13 | 2024-06-07 | 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 | 2024-02-29 | 2024-04-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-29 | 2024-04-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-29 | 2024-04-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-29 | 2024-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-04-01 | 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 | 2024-02-29 | 2024-04-01 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-02-29 | 2024-04-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-29 | 2024-04-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-29 | 2024-04-01 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2024-02-29 | 2024-03-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-02-29 | 2024-03-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-02-29 | 2024-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-29 | 2024-03-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-29 | 2024-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-29 | 2024-03-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-29 | 2024-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-21 | 2023-02-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-21 | 2023-02-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-12-21 | 2023-02-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-21 | 2023-02-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-21 | 2023-02-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-21 | 2023-02-03 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-12-21 | 2023-02-03 | 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 | 2022-12-21 | 2023-02-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-12-21 | 2023-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-21 | 2023-01-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-21 | 2023-01-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-21 | 2023-01-26 | 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 | 2022-12-21 | 2023-01-26 | 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 | 2022-12-21 | 2023-01-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-21 | 2023-01-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-21 | 2023-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-21 | 2023-01-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-21 | 2023-01-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-21 | 2023-01-26 | N |