Facility profile · CCN 505474
Martha And Mary Health Service
47 federal citations on record .
Record summary
Federal record · Q1 202647
Total citations
35
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
47 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 13, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 14, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Dec 16, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 16, 2024 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| Dec 16, 2024 | F758 | 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. | E | Standard |
| Dec 16, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Dec 16, 2024 | F700 | 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. | E | Standard |
| Dec 16, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 16, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Dec 16, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Dec 16, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Dec 16, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Dec 16, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Dec 16, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Dec 16, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Dec 16, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Dec 16, 2024 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Dec 16, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Jul 8, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Oct 27, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint |
| Oct 27, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Oct 27, 2023 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Complaint |
| Oct 27, 2023 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| Oct 27, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Oct 27, 2023 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard |
| Oct 27, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Oct 27, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Oct 27, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Oct 27, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Oct 27, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Oct 27, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Oct 27, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Oct 27, 2023 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Oct 27, 2023 | F584 | 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. | D | Standard |
| Oct 27, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard |
| Oct 20, 2022 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Oct 20, 2022 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Oct 20, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 20, 2022 | F778 | Help the resident make transportation arrangements to and from radiology services. | D | Standard |
| Oct 20, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Oct 20, 2022 | F758 | 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. | D | Standard |
| Oct 20, 2022 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Oct 20, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Oct 20, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Oct 20, 2022 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Oct 20, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Oct 20, 2022 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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