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MALLARD BAY CARE CTR CAMBRIDGE
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719297843
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Details
Costs
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 12/21/2007 Health Survey for MALLARD BAY CARE CTR CAMBRIDGE
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Get services outside the nursing home that meet professional standards. | Isolated | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Actual harm |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Make sure that each resident's nutritional needs were met. | Pattern | Potential for minimal harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Minimal harm or potential for actual harm |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Actual harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm |
- 12/04/2007 Fire Safety Survey for MALLARD BAY CARE CTR CAMBRIDGE
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. | Isolated | Minimal harm or potential for actual harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Isolated | Minimal harm or potential for actual harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| properly protected cooking facilities. | Pattern | Potential for minimal harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| signs that state that exit doors are to be kept closed. | Isolated | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| a fire alarm system that can be heard throughout the facility. | Isolated | Minimal harm or potential for actual harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| exits that are free from obstructions and can be used at all times. | Isolated | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Isolated | Minimal harm or potential for actual harm |
| Interior Finish | ||
| Deficiency | Scope | Level of Harm |
| fire-resistant room wall surfaces. | Isolated | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Isolated | Minimal harm or potential for actual harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Isolated | Minimal harm or potential for actual harm |
| Vertical Openings | ||
| Deficiency | Scope | Level of Harm |
| exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. | Isolated | Minimal harm or potential for actual harm |
- 11/30/2006 Health Survey for MALLARD BAY CARE CTR CAMBRIDGE
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Make sure that residents are safe from serious medication errors. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Give the right treatment and services to residents who have mental or social problems adjusting. | Isolated | Minimal harm or potential for actual harm |
- 12/01/2005 Health Survey for MALLARD BAY CARE CTR CAMBRIDGE
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Train all employees on what to do in an emergency. | Pattern | Minimal harm or potential for actual harm |
| Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm |
| Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Pattern | Minimal harm or potential for actual harm |
| Keep all essential equipment working safely. | Isolated | Minimal harm or potential for actual harm |
| Make sure there is a program to prevent/deal with mice, insects, or other pests. | Isolated | Minimal harm or potential for actual harm |
| Get rid of garbage properly. | Pattern | Potential for minimal harm |
| Have enough backup water supply for important areas of the nursing home. | Pattern | Potential for minimal harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Pattern | Minimal harm or potential for actual harm |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Isolated | Minimal harm or potential for actual harm |
| Make sure that residents are safe from serious medication errors. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Isolated | Minimal harm or potential for actual harm |
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