Care Citations

MULTY MEDICAL SKILLED NURSING FACILITY

AMERICO MIRANDA AVE ENTRADA PRINCIPAL CENTRO, RIO PIEDRAS, PR, 00935 · 7877540194

On the CMS record

Overall rating (CMS)
1 / 5
Health inspection rating
1 / 5
Staffing rating
2 / 5
Certified beds
35
Ownership type
For profit - Corporation

Inspection findings on record (77)

Quoted exactly as CMS published them. We do not rewrite findings.

— Pharmacy Service Deficiencies

Tag 0761 · scope/severity F · potential for more than minimal harm

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.

Recorded as corrected on .

— Administration Deficiencies

Tag 0851 · scope/severity F · potential for more than minimal harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Recorded as corrected on .

— Administration Deficiencies

Tag 0867 · scope/severity F · potential for more than minimal harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Recorded as corrected on .

— Administration Deficiencies

Tag 0868 · scope/severity F · potential for more than minimal harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Recorded as corrected on .

— Environmental Deficiencies

Tag 0921 · scope/severity F · potential for more than minimal harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Recorded as corrected on .

— Environmental Deficiencies

Tag 0924 · scope/severity F · potential for more than minimal harm

Put firmly secured handrails on each side of hallways.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0584 · scope/severity D · potential for more than minimal harm

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.

Recorded as corrected on .

— Nursing and Physician Services Deficiencies

Tag 0732 · scope/severity C · potential for minimal harm

Post nurse staffing information every day.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0550 · scope/severity F · potential for more than minimal harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0553 · scope/severity F · potential for more than minimal harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0554 · scope/severity F · potential for more than minimal harm

Allow residents to self-administer drugs if determined clinically appropriate.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0558 · scope/severity F · potential for more than minimal harm

Reasonably accommodate the needs and preferences of each resident.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0559 · scope/severity F · potential for more than minimal harm

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0560 · scope/severity F · potential for more than minimal harm

Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0561 · scope/severity F · potential for more than minimal harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0562 · scope/severity F · potential for more than minimal harm

Provide immediate access to any resident.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0563 · scope/severity F · potential for more than minimal harm

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0564 · scope/severity F · potential for more than minimal harm

Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0565 · scope/severity F · potential for more than minimal harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0566 · scope/severity F · potential for more than minimal harm

1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0567 · scope/severity F · potential for more than minimal harm

Honor the resident's right to manage his or her financial affairs.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0572 · scope/severity F · potential for more than minimal harm

Give residents a notice of rights, rules, services and charges.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0573 · scope/severity F · potential for more than minimal harm

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0574 · scope/severity F · potential for more than minimal harm

The resident has the right to receive notices in a format and a language he or she understands.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0575 · scope/severity F · potential for more than minimal harm

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0577 · scope/severity F · potential for more than minimal harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0579 · scope/severity F · potential for more than minimal harm

Provide information about how to apply for and use Medicare and Medicaid benefits.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0580 · scope/severity F · potential for more than minimal harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0582 · scope/severity F · potential for more than minimal harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0584 · scope/severity F · potential for more than minimal harm

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.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0586 · scope/severity F · potential for more than minimal harm

Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.

Recorded as corrected on .

— Freedom from Abuse, Neglect, and Exploitation Deficiencies

Tag 0600 · scope/severity F · potential for more than minimal harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Recorded as corrected on .

— Freedom from Abuse, Neglect, and Exploitation Deficiencies

Tag 0602 · scope/severity F · potential for more than minimal harm

Protect each resident from the wrongful use of the resident's belongings or money.

Recorded as corrected on .

— Freedom from Abuse, Neglect, and Exploitation Deficiencies

Tag 0603 · scope/severity F · potential for more than minimal harm

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Recorded as corrected on .

— Freedom from Abuse, Neglect, and Exploitation Deficiencies

Tag 0604 · scope/severity F · potential for more than minimal harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Recorded as corrected on .

— Freedom from Abuse, Neglect, and Exploitation Deficiencies

Tag 0605 · scope/severity F · potential for more than minimal harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Recorded as corrected on .

— Freedom from Abuse, Neglect, and Exploitation Deficiencies

Tag 0607 · scope/severity F · potential for more than minimal harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Recorded as corrected on .

— Freedom from Abuse, Neglect, and Exploitation Deficiencies

Tag 0610 · scope/severity F · potential for more than minimal harm

Respond appropriately to all alleged violations.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0620 · scope/severity F · potential for more than minimal harm

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0622 · scope/severity F · potential for more than minimal harm

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0623 · scope/severity F · potential for more than minimal harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0624 · scope/severity F · potential for more than minimal harm

Prepare residents for a safe transfer or discharge from the nursing home.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0625 · scope/severity F · potential for more than minimal harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0626 · scope/severity F · potential for more than minimal harm

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Recorded as corrected on .

— Nursing and Physician Services Deficiencies

Tag 0727 · scope/severity F · potential for more than minimal harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Recorded as corrected on .

— Quality of Life and Care Deficiencies

Tag 0740 · scope/severity F · potential for more than minimal harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Recorded as corrected on .

— Quality of Life and Care Deficiencies

Tag 0741 · scope/severity F · potential for more than minimal harm

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Recorded as corrected on .

— Pharmacy Service Deficiencies

Tag 0756 · scope/severity F · potential for more than minimal harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Recorded as corrected on .

— Nutrition and Dietary Deficiencies

Tag 0800 · scope/severity F · potential for more than minimal harm

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Recorded as corrected on .

— Nutrition and Dietary Deficiencies

Tag 0804 · scope/severity F · potential for more than minimal harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Recorded as corrected on .

— Nutrition and Dietary Deficiencies

Tag 0812 · scope/severity F · potential for more than minimal harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Recorded as corrected on .

— Nutrition and Dietary Deficiencies

Tag 0814 · scope/severity F · potential for more than minimal harm

Dispose of garbage and refuse properly.

Recorded as corrected on .

— Nursing and Physician Services Deficiencies

Tag 0841 · scope/severity F · potential for more than minimal harm

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Recorded as corrected on .

— Infection Control Deficiencies

Tag 0880 · scope/severity F · potential for more than minimal harm

Provide and implement an infection prevention and control program.

Recorded as corrected on .

— Infection Control Deficiencies

Tag 0887 · scope/severity F · potential for more than minimal harm

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.

Recorded as corrected on .

— Environmental Deficiencies

Tag 0921 · scope/severity F · potential for more than minimal harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Recorded as corrected on .

— Infection Control Deficiencies

Tag 0883 · scope/severity E · potential for more than minimal harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Recorded as corrected on .

— Resident Rights Deficiencies

Tag 0578 · scope/severity D · potential for more than minimal harm

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.

Recorded as corrected on .

— Resident Assessment and Care Planning Deficiencies

Tag 0655 · scope/severity D · potential for more than minimal harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Recorded as corrected on .

— Freedom from Abuse, Neglect, and Exploitation Deficiencies

Tag 0609 · scope/severity C · potential for minimal harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Recorded as corrected on .

— Quality of Life and Care Deficiencies

Tag 0685 · scope/severity C · potential for minimal harm

Assist a resident in gaining access to vision and hearing services.

Recorded as corrected on .

— Quality of Life and Care Deficiencies

Tag 0687 · scope/severity C · potential for minimal harm

Provide appropriate foot care.

Recorded as corrected on .

— Quality of Life and Care Deficiencies

Tag 0691 · scope/severity C · potential for minimal harm

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Recorded as corrected on .

— Quality of Life and Care Deficiencies

Tag 0695 · scope/severity C · potential for minimal harm

Provide safe and appropriate respiratory care for a resident when needed.

Recorded as corrected on .

— Quality of Life and Care Deficiencies

Tag 0696 · scope/severity C · potential for minimal harm

Provide appropriate care/assistance for a resident with a prosthesis.

Recorded as corrected on .

— Quality of Life and Care Deficiencies

Tag 0698 · scope/severity C · potential for minimal harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Recorded as corrected on .

— Quality of Life and Care Deficiencies

Tag 0699 · scope/severity C · potential for minimal harm

Provide care or services that was trauma informed and/or culturally competent.

Recorded as corrected on .

— Quality of Life and Care Deficiencies

Tag 0700 · scope/severity C · potential for minimal harm

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.

Recorded as corrected on .

— Nursing and Physician Services Deficiencies

Tag 0732 · scope/severity C · potential for minimal harm

Post nurse staffing information every day.

Recorded as corrected on .

— Pharmacy Service Deficiencies

Tag 0757 · scope/severity C · potential for minimal harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Recorded as corrected on .

— Quality of Life and Care Deficiencies

Tag 0790 · scope/severity C · potential for minimal harm

Provide routine and 24-hour emergency dental care for each resident.

Recorded as corrected on .

— Nutrition and Dietary Deficiencies

Tag 0802 · scope/severity C · potential for minimal harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Recorded as corrected on .

— Administration Deficiencies

Tag 0838 · scope/severity C · potential for minimal harm

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.

Recorded as corrected on .

— Administration Deficiencies

Tag 0851 · scope/severity C · potential for minimal harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Recorded as corrected on .

— Administration Deficiencies

Tag 0868 · scope/severity C · potential for minimal harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Recorded as corrected on .

— Administration Deficiencies

Tag 0895 · scope/severity C · potential for minimal harm

Have a Compliance and Ethics Program.

Recorded as corrected on .

— Environmental Deficiencies

Tag 0908 · scope/severity C · potential for minimal harm

Keep all essential equipment working safely.

Recorded as corrected on .

Source: Centers for Medicare & Medicaid Services (CMS) · CMS Certification Number 405034