Deficiency Records for Mercy Health Services
Updated as of June 01, 2019
This is not the most recent data for Mercy Health Services. For the most recent information, click here.
A list of the most recent deficiencies for Mercy Health Services. 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? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-29 | 2018-12-28 | 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 | 2018-12-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-11-29 | 2018-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-29 | 2018-12-28 | 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 | 2018-12-28 | 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 ne | Health | 2018-11-29 | 2018-12-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-29 | 2018-12-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-23 | 2017-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-23 | 2017-11-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-10-23 | 2017-11-17 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-10-19 | 2017-11-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-10-19 | 2017-11-17 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-19 | 2017-11-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-19 | 2017-11-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-19 | 2017-11-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-19 | 2017-11-17 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-10-19 | 2017-11-17 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-19 | 2017-11-17 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-19 | 2017-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-19 | 2017-11-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-19 | 2017-11-17 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-10-19 | 2017-11-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-19 | 2017-11-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-13 | 2017-04-05 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-06-28 | 2016-07-22 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-28 | 2016-07-22 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-28 | 2016-07-22 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-28 | 2016-07-22 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-06-30 | 2016-07-22 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-30 | 2016-06-30 | Y |
