A list of the most recent deficiencies for Marysville Post-Acute. 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? |
|---|---|---|---|---|
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-11-16 | 2023-12-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-16 | 2023-12-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2023-12-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-16 | 2023-12-16 | 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 | 2023-11-16 | 2023-12-15 | N |
| Post nurse staffing information every day. | Health | 2023-11-16 | 2023-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-21 | 2023-12-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-21 | 2023-12-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-11-21 | 2023-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-21 | 2023-12-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-21 | 2023-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-21 | 2023-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-21 | 2023-12-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-21 | 2023-12-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-21 | 2023-12-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-16 | 2023-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-11-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-11-17 | Y |
| Keep all essential equipment working safely. | Health | 2023-11-07 | 2023-11-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-07 | 2023-11-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-07 | 2023-11-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-04 | 2023-04-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-04 | 2023-04-21 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-02-23 | 2023-03-10 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-01-10 | 2023-01-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-10 | 2023-01-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-06 | 2022-11-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-18 | 2022-10-31 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-08-18 | 2022-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-10-31 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-18 | 2022-10-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-18 | 2022-10-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-18 | 2022-10-31 | 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 | 2022-08-18 | 2022-10-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-18 | 2022-10-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-18 | 2022-10-31 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-08-18 | 2022-10-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-18 | 2022-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-10-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-18 | 2022-10-31 | 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 | 2022-08-18 | 2022-10-31 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-18 | 2022-10-31 | Y |
| 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 | 2022-08-18 | 2022-10-31 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2022-08-24 | 2022-09-08 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-24 | 2022-09-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-24 | 2022-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-24 | 2022-09-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-24 | 2022-09-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-24 | 2022-09-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-24 | 2022-09-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-06 | 2022-07-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-01 | 2022-03-25 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-01 | 2022-03-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-10 | 2022-01-06 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-10 | 2022-01-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-15 | 2021-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-02 | 2021-09-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-02 | 2021-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-26 | 2021-09-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-27 | 2021-09-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-27 | 2021-09-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-29 | 2021-08-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-29 | 2021-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-16 | 2021-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-20 | 2021-07-30 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2020-02-20 | 2020-03-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-20 | 2020-03-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-20 | 2020-03-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-20 | 2020-03-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-20 | 2020-03-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-20 | 2020-03-09 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-02-06 | 2020-03-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-06 | 2020-03-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-06 | 2020-03-05 | 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 | 2020-02-06 | 2020-03-05 | 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 | 2020-02-06 | 2020-03-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-06 | 2020-03-05 | 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 | 2020-03-05 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-02-06 | 2020-03-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-06 | 2020-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-05 | N |
| Keep all essential equipment working safely. | Health | 2020-02-06 | 2020-03-05 | N |
