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Immaculate Mary Home
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(Provided by Gilbert Guide's on-site reviewer)
Greenery ensconces the attractive building that is Immaculate Mary Home. Stained glass windows and religious statues set a reverential tone. A secured area, monitored by camera, bears a network of walking paths among resident-tended gardens. Seats are everywhere. The outdoor space appears to have been designed with invigoration in mind, as there’s even a children’s play area to fill the yard with the sounds of young giggles. The interior incorporates traditional furnishings that look clean and well-cared for. Plants are scattered about.
The living space is divided into several sections; rehab and hospice residents occupy the first two floors, the third floor houses residents with dementia and the fourth floor is reserved for higher-functioning residents. Dining rooms on each floor connect to lounges with traditional furnishings and tables. A typical breakfast offers hot and cold cereals and an egg dish or pancakes, while lunch and dinner serve up hot selections, soups and sandwiches. Each floor also has its own recreational therapist, activity room and “fish” room featuring an impressive aquarium. Residents seem young at heart, engaging in a variety of activities at every level of programming. Second-floor activities include crafts, music, sensory walks, rosary, bingo, pet therapy and bowling. The dementia unit incorporates reminiscing, musical memories, wisdom circles and cooking. Residents on the fourth floor exercise in the mornings and fill their days with crafts, discussion groups, music and parties. The occasional cocktail hour provides higher-functioning residents a chance to unwind after an active day.
Immaculate Mary Home has palpable religious undertones. To accommodate the varied population, alternative activities are generally offered concurrently with mass. The spacious second floor chapel has a nice balcony for post-mass contemplation. A strong emphasis is placed on pastoral care, and families are encouraged to utilize the facility’s chapel. We found staff members to be reserved, but friendly and caring.
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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.
- 08/22/2007 Fire Safety Survey for Immaculate Mary Home
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Pattern | Potential for minimal harm |
| Building Contruction | ||
| Deficiency | Scope | Level of Harm |
| a two-hour-resistant firewall in common walls. | Widespread | Potential for minimal harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| properly constructed linen or trash chutes. | Pattern | Potential for minimal harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Pattern | Potential for minimal harm |
| corridors that are separated from common areas by walls constructed to limit the passage of smoke. | Pattern | Potential for minimal harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| exit stairways and towers that are smoke proof. | Widespread | Potential for minimal harm |
| corridors or aisles that are unobstructed and are at least 8 feet in width. | Widespread | Potential for minimal harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Pattern | Potential for minimal harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Pattern | Potential for minimal harm |
| Vertical Openings | ||
| Deficiency | Scope | Level of Harm |
| proper stairway enclosures and vertical shafts. | Widespread | Potential for minimal harm |
- 08/07/2007 Health Survey for Immaculate Mary Home
| 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 |
- 10/11/2006 Health Survey for Immaculate Mary Home
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Keep accurate and appropriate medical records. | 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. | 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. | 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 |
- 10/04/2006 Fire Safety Survey for Immaculate Mary Home
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Pattern | Potential for minimal harm |
| Building Contruction | ||
| Deficiency | Scope | Level of Harm |
| a two-hour-resistant firewall in common walls. | Pattern | Potential for minimal harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| properly protected cooking facilities. | Pattern | Potential for minimal harm |
| properly constructed linen or trash chutes. | Pattern | Potential for minimal harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Widespread | Potential for minimal harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| exits that are accessible at all times. | Pattern | Potential for minimal harm |
| exit stairways and towers that are smoke proof. | Pattern | Potential for minimal harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Pattern | Potential for minimal harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Widespread | Potential for minimal harm |
| Vertical Openings | ||
| Deficiency | Scope | Level of Harm |
| proper stairway enclosures and vertical shafts. | Pattern | Potential for minimal harm |
- 09/22/2005 Fire Safety Survey for Immaculate Mary Home
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| portable fire extinguishers. | Pattern | Potential for minimal harm |
| automatic sprinkler systems that have been maintained in working order. | Pattern | Potential for minimal harm |
| Building Contruction | ||
| Deficiency | Scope | Level of Harm |
| a two-hour-resistant firewall in common walls. | Pattern | Potential for minimal harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| properly constructed linen or trash chutes. | Pattern | Potential for minimal harm |
| properly protected cooking facilities. | Pattern | Potential for minimal harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Pattern | Potential for minimal harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Pattern | Potential for minimal harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| exits that are accessible at all times. | Pattern | Potential for minimal harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| a fire alarm system that can be heard throughout the facility. | Widespread | Potential for minimal harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| gift shops separated and protected as hazardous areas. | Pattern | Potential for minimal harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Pattern | Potential for minimal harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| properly located and lighted Exit signs. | Pattern | Potential for minimal harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Pattern | Potential for minimal harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Pattern | Potential for minimal harm |
| Vertical Openings | ||
| Deficiency | Scope | Level of Harm |
| proper stairway enclosures and vertical shafts. | Pattern | Potential for minimal harm |
- 09/14/2005 Health Survey for Immaculate Mary Home
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the attending doctor orders special diets. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give professional services that follow each resident's written care plan. | 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 residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 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 |
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