CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Mercy Retirement and Care Center
View the most recent health deficiencies and inspection results for Mercy Retirement and Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mercy Retirement and Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-27 | 2026-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-23 | 2025-09-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-08-26 | 2025-09-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-24 | 2025-05-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-04-24 | 2025-05-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-13 | 2025-03-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-13 | 2025-03-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-13 | 2025-03-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-02-13 | 2025-03-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-02-13 | 2025-03-18 | 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 | 2025-02-13 | 2025-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-13 | 2025-03-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-02-13 | 2025-03-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-13 | 2025-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-13 | 2025-03-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-13 | 2025-02-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-02-13 | 2025-02-21 | N |
| Use approved construction type or materials. | Fire Safety | 2025-02-13 | 2025-02-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-13 | 2025-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-13 | 2025-02-21 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2025-02-13 | 2025-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-27 | 2024-10-25 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-10-03 | 2023-10-04 | Y |
| 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 | 2023-06-09 | 2023-07-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-09 | 2023-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-07-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-09 | 2023-07-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-06-09 | 2023-07-21 | 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 | 2023-06-09 | 2023-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-09 | 2023-07-21 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-06-09 | 2023-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-07-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-09 | 2023-07-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-09 | 2023-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-09 | 2023-07-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-09 | 2023-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-09 | 2023-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-09 | 2023-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-09 | 2023-07-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-06 | 2020-04-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-06 | 2020-04-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-06 | 2020-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-06 | 2020-04-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-06 | 2020-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-03-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-06 | 2020-03-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-06 | 2020-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-06 | 2020-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-04 | N |