Deficiency Records for Monarch Pavilion Rehabilitation Suites
Updated as of October 01, 2018
This is not the most recent data for Monarch Pavilion Rehabilitation Suites. For the most recent information, click here.
A list of the most recent deficiencies for Monarch Pavilion Rehabilitation Suites. 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? |
|---|---|---|---|---|
| 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 | 2018-05-08 | 2018-05-11 | Y |
| Install proper backup exit lighting. | Fire Safety | 2017-09-27 | 2017-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-27 | 2017-10-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-09-27 | 2017-10-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-27 | 2017-10-27 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-09-27 | 2017-10-27 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-09-27 | 2017-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-27 | 2017-10-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-09-19 | 2017-09-27 | Y |
| Keep clinical record information safe. | Health | 2017-09-19 | 2017-09-27 | Y |
| Properly protected cooking facilities. | Fire Safety | 2016-10-04 | 2016-11-11 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-10-04 | 2016-11-11 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-10-05 | 2016-11-11 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-10-30 | 2016-02-21 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-02 | 2015-12-02 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-11-02 | 2015-12-02 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-11-02 | 2015-12-02 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-02 | 2015-12-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-10-30 | 2015-11-29 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2015-10-30 | 2015-11-29 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-10-30 | 2015-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-10-30 | 2015-11-29 | 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 | 2015-10-30 | 2015-11-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-30 | 2015-11-29 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2015-10-30 | 2015-11-29 | N |
