A list of the most recent deficiencies for Mabank Nursing Center. 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? |
|---|---|---|---|---|
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-01-24 | 2023-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-24 | 2023-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-14 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-01-12 | 2023-02-02 | 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 | 2023-01-12 | 2023-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-09 | 2022-08-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-20 | 2021-10-31 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-20 | 2021-10-31 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-10-20 | 2021-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-19 | 2021-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-19 | 2021-10-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-19 | 2021-10-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-29 | 2019-12-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-29 | 2019-12-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-10-29 | 2019-12-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-29 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-29 | 2019-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-29 | 2019-12-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-29 | 2019-12-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-29 | 2019-12-13 | 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 | 2019-10-30 | 2019-11-15 | 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 | 2019-10-30 | 2019-11-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-30 | 2019-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-29 | 2019-11-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-29 | 2019-11-03 | N |
