Deficiency Records for Maywood Skilled Nursing and Wellness Centre
Updated as of April 01, 2018
This is not the most recent data for Maywood Skilled Nursing and Wellness Centre. For the most recent information, click here.
A list of the most recent deficiencies for Maywood Skilled Nursing and Wellness Centre. 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? |
|---|---|---|---|---|
| Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-01-30 | 2018-02-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-01-03 | 2018-01-16 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2017-03-13 | 2017-04-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-03-13 | 2017-04-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-03-13 | 2017-04-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-03-13 | 2017-04-28 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2017-03-13 | 2017-04-28 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-03-13 | 2017-04-28 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-13 | 2017-04-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-13 | 2017-04-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-13 | 2017-04-28 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-03-13 | 2017-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-13 | 2017-04-28 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-03-13 | 2017-04-28 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-03-13 | 2017-04-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-13 | 2017-04-28 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-13 | 2017-04-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-13 | 2017-04-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-13 | 2017-04-28 | N |
| Keep all essential equipment working safely. | Health | 2017-03-13 | 2017-04-28 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2017-03-13 | 2017-04-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-03-13 | 2017-04-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-13 | 2017-04-28 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-03-13 | 2017-04-28 | 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 | 2017-03-08 | 2017-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-08 | 2017-04-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-08 | 2017-04-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-08 | 2017-04-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-03-08 | 2017-04-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-03-08 | 2017-04-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-17 | 2017-03-02 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-25 | 2017-02-07 | Y |
| Keep all essential equipment working safely. | Health | 2017-01-13 | 2017-01-20 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-10 | 2016-04-19 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-09 | 2016-04-19 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-12 | 2016-04-18 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-01-12 | 2016-04-18 | Y |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2016-01-12 | 2016-04-18 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-01-12 | 2016-04-18 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-01-12 | 2016-04-18 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-01-12 | 2016-03-11 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-01-12 | 2016-03-11 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-01-12 | 2016-03-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-12 | 2016-03-11 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-01-12 | 2016-03-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-12 | 2016-03-11 | 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 | 2016-01-12 | 2016-03-11 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-01-12 | 2016-03-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-12 | 2016-03-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-01-12 | 2016-03-11 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-01-12 | 2016-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-01-12 | 2016-03-11 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-01-08 | 2016-02-16 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-08 | 2016-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-09 | 2015-05-12 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-10-12 | 2015-01-21 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-10-12 | 2015-01-21 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2014-10-12 | 2015-01-21 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-10-12 | 2015-01-21 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2014-10-12 | 2015-01-21 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2014-10-12 | 2015-01-21 | N |
| Provide timely notification to the resident before transfer or discharge. | Health | 2014-10-12 | 2015-01-21 | N |
| Tell 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 | 2014-10-12 | 2015-01-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-10-12 | 2015-01-21 | N |
| Provide housekeeping and maintenance services. | Health | 2014-10-12 | 2015-01-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-10-12 | 2015-01-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-10-12 | 2015-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-12 | 2015-01-21 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-10-12 | 2015-01-21 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-10-12 | 2015-01-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-10-12 | 2015-01-21 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-10-12 | 2015-01-21 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-10-12 | 2015-01-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-10-12 | 2015-01-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-10-12 | 2015-01-21 | N |
| Keep all essential equipment working safely. | Health | 2014-10-12 | 2015-01-21 | N |
