A list of the most recent deficiencies for Maryhill Manor. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-27 | 2023-10-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-09-27 | 2023-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-27 | 2023-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-10-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-27 | 2023-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-27 | 2023-10-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-27 | 2023-10-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-31 | 2022-11-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-31 | 2022-11-30 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-08-31 | 2022-10-14 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-31 | 2022-10-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-31 | 2022-09-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-31 | 2022-09-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-08-31 | 2022-09-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-08-31 | 2022-09-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-31 | 2022-09-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-08-31 | 2022-09-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-31 | 2022-09-02 | 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 | 2022-08-31 | 2022-09-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-22 | 2021-07-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-22 | 2021-07-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-22 | 2021-07-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-22 | 2021-07-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-06-22 | 2021-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-22 | 2021-07-19 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-06-22 | 2021-07-19 | N |
