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Deficiency Records for Maclay Healthcare Center
View the most recent health deficiencies and inspection results for Maclay Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Maclay Healthcare Center. 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 | 2026-03-03 | 2026-03-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-03 | 2026-03-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-03 | 2026-03-27 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2026-01-16 | 2026-03-25 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2026-01-16 | 2026-03-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-01-16 | 2026-02-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-01-16 | 2026-02-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2026-01-16 | 2026-02-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-16 | 2026-02-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-16 | 2026-02-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-16 | 2026-02-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-16 | 2026-02-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-16 | 2026-02-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-01-16 | 2026-02-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-01-16 | 2026-02-12 | 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 | 2026-01-16 | 2026-02-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-01-16 | 2026-02-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2026-01-16 | 2026-02-12 | 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 | 2026-01-16 | 2026-02-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2026-01-16 | 2026-02-12 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-01-16 | 2026-02-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-01-16 | 2026-02-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2026-01-16 | 2026-02-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-01-16 | 2026-02-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-01-16 | 2026-02-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-16 | 2026-02-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-01-16 | 2026-02-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-01-16 | 2026-02-12 | 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 | 2026-01-16 | 2026-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-16 | 2026-02-12 | 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 | 2026-01-16 | 2026-02-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-01-16 | 2026-02-12 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2026-01-16 | 2026-02-12 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2026-01-16 | 2026-02-12 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2026-01-16 | 2026-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-16 | 2026-02-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-16 | 2026-02-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-16 | 2026-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-16 | 2026-01-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-16 | 2026-01-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-16 | 2026-01-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-01-16 | 2026-01-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-16 | 2026-01-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-16 | 2026-01-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2026-01-16 | 2026-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-16 | 2026-01-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-15 | 2025-10-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-28 | 2025-09-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-28 | 2025-09-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-07-09 | 2025-08-12 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-06-03 | 2025-06-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-03 | 2025-06-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-03 | 2025-06-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-06-03 | 2025-06-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-28 | 2025-05-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-22 | 2025-04-18 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-03-22 | 2025-04-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-22 | 2025-04-18 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-03-22 | 2025-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-22 | 2025-04-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-22 | 2025-04-18 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-03-22 | 2025-04-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-28 | 2025-02-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-28 | 2025-02-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-16 | 2025-02-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-12-24 | 2025-01-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-24 | 2025-01-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-24 | 2025-01-09 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-12-24 | 2025-01-09 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-12-24 | 2025-01-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-18 | 2024-12-30 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-10-11 | 2024-12-06 | 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 | 2024-10-11 | 2024-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-11 | 2024-11-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-10-11 | 2024-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-11 | 2024-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-11 | 2024-11-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-10-11 | 2024-11-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-10-11 | 2024-11-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-11 | 2024-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-11 | 2024-11-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-10-11 | 2024-11-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-11 | 2024-11-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-10-11 | 2024-11-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-10-11 | 2024-11-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-11 | 2024-11-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-11 | 2024-11-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-11 | 2024-11-18 | 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 necessary and PRN use is limited. | Health | 2024-10-11 | 2024-11-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-11 | 2024-11-18 | 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 | 2024-10-11 | 2024-11-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-10-11 | 2024-11-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-10-11 | 2024-11-18 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-10-11 | 2024-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-11 | 2024-11-18 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-10-11 | 2024-11-18 | N |
| Dispose of garbage and refuse properly. | Health | 2024-10-11 | 2024-11-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-11 | 2024-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-11 | 2024-11-18 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-10-11 | 2024-11-18 | N |
| Keep all essential equipment working safely. | Health | 2024-10-11 | 2024-11-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-31 | 2024-11-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-31 | 2024-11-11 | Y |
| 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 | 2024-10-24 | 2024-11-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-24 | 2024-11-08 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2024-10-11 | 2024-10-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-11 | 2024-10-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-11 | 2024-10-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-11 | 2024-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-11 | 2024-10-25 | 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 | 2024-10-11 | 2024-10-25 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-09-10 | 2024-09-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-10 | 2024-09-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-05 | 2024-09-23 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-08-05 | 2024-09-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-21 | 2024-09-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-05 | 2024-08-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-05 | 2024-08-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-18 | 2024-08-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-07 | 2024-07-15 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-06-07 | 2024-07-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-07 | 2024-07-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-07 | 2024-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-07 | 2024-07-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-07 | 2024-07-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-07 | 2024-07-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-07 | 2024-07-15 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-06-07 | 2024-07-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-06-07 | 2024-07-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-10 | 2024-04-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-10 | 2024-04-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-23 | 2024-03-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-25 | 2024-02-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-25 | 2024-02-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-25 | 2024-02-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-25 | 2024-02-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-25 | 2024-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-04 | 2023-12-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-14 | 2023-12-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-25 | 2023-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-10-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-27 | 2023-10-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-07 | 2023-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-07 | 2023-10-31 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-09-07 | 2023-10-31 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-07 | 2023-10-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-07 | 2023-10-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-10-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-27 | 2023-10-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-27 | 2023-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-27 | 2023-10-31 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-06 | 2023-10-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-06 | 2023-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-06 | 2023-10-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-27 | 2023-10-31 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-06 | 2023-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-06 | 2023-10-30 | 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 | 2023-10-06 | 2023-10-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-06 | 2023-10-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-06 | 2023-10-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-06 | 2023-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-06 | 2023-10-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-06 | 2023-10-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-06 | 2023-10-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-06 | 2023-10-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-06 | 2023-10-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-06 | 2023-10-30 | 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 | 2023-10-06 | 2023-10-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-06 | 2023-10-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-06 | 2023-10-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-06 | 2023-10-30 | 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 necessary and PRN use is limited. | Health | 2023-10-06 | 2023-10-30 | 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 | 2023-10-06 | 2023-10-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-06 | 2023-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-06 | 2023-10-30 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-10-06 | 2023-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-06 | 2023-10-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-06 | 2023-10-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-06 | 2023-10-30 | Y |
| 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 | 2023-10-06 | 2023-10-30 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-10-06 | 2023-10-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-06 | 2023-10-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-06 | 2023-10-30 | 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 | 2023-10-06 | 2023-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-22 | 2023-10-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-29 | 2023-10-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-01 | 2023-09-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-23 | 2023-09-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-23 | 2023-09-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-14 | 2023-08-21 | Y |
| 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 | 2023-07-27 | 2023-08-10 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-07-19 | 2023-08-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-19 | 2023-08-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-30 | 2023-07-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-30 | 2023-07-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-21 | 2023-07-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-21 | 2023-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-21 | 2023-07-15 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-21 | 2023-07-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-21 | 2023-07-15 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-06-21 | 2023-07-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-12 | 2023-05-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-12 | 2023-05-30 | Y |