Momentous Health at Vandalia

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

F0711 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jul 10, 2026) · From a complaint

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

F0921 · Environmental Deficiencies · Deficient, Provider has date of correction (Aug 21, 2026) · From a complaint

Provide and implement an infection prevention and control program.

F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jul 10, 2026) · From a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 21, 2026) · From a complaint

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.

F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 10, 2026) · From a complaint

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.

F0700 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 10, 2026) · From a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026) · From a complaint

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.

F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026) · From a complaint

Provide safe, appropriate pain management for a resident who requires such services.

F0697 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026) · From a complaint

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.

F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

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

F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

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.

F0578 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

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

F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Dec 18, 2024) · From a complaint

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.

F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

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.

F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

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

F0921 · Environmental Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

F0837 · Administration Deficiencies · Past Non-Compliance (Jul 22, 2024) · From a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 · Quality of Life and Care Deficiencies · Past Non-Compliance (Apr 18, 2024) · From a complaint

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.

F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 10, 2024) · From a complaint

Employ staff that are licensed, certified, or registered in accordance with state laws.

F0839 · Administration Deficiencies · Deficient, Provider has date of correction (Apr 2, 2024) · From a complaint

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.

F0849 · Administration Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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

F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Keep all essential equipment working safely.

F0908 · Environmental Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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.

F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Provide care and assistance to perform activities of daily living for any resident who is unable.

F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

F0557 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Provide and implement an infection prevention and control program.

F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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.

F0887 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Provide safe, appropriate pain management for a resident who requires such services.

F0697 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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

F0868 · Administration Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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

F0756 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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.

F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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.

F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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

F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Provide or obtain dental services for each resident.

F0791 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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

F0883 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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

F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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

F0554 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

F0569 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

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.

F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

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

F0921 · Environmental Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

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

F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

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

F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

Provide care and assistance to perform activities of daily living for any resident who is unable.

F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

Have an alternate power supply for its alarm system.

K0344 · Smoke Deficiencies · Deficient, Provider has date of correction (Sep 11, 2026) · From a complaint

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K0223 · Egress Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K0521 · Services Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Inspect, test, and maintain automatic sprinkler systems.

K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Use approved construction type or materials.

K0161 · Construction Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Ensure proper usage of power strips and extension cords.

K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Have generator or other power source capable of supplying service within 10 seconds.

K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Conduct testing and exercise requirements.

E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Have simulated fire drills held at unexpected times.

K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Have approved installation, maintenance and testing program for fire alarm systems.

K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Install emergency lighting that can last at least 1 1/2 hours.

K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Have properly installed electrical wiring and gas equipment.

K0511 · Services Deficiencies · Deficient, Provider has date of correction (Apr 20, 2026)

Ensure proper usage of power strips and extension cords.

K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Provide properly protected cooking facilities.

K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Install corridor and hallway doors that block smoke.

K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Install emergency lighting that can last at least 1 1/2 hours.

K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Develop and maintain an Emergency Preparedness Program (EP).

E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Have simulated fire drills held at unexpected times.

K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

K0362 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Have proper medical gas storage and administration areas.

K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Keep aisles, corridors, and exits free of obstruction in case of emergency.

K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K0232 · Egress Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Have properly installed electrical wiring and gas equipment.

K0511 · Services Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Have approved installation, maintenance and testing program for fire alarm systems.

K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K0223 · Egress Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Inspect, test, and maintain automatic sprinkler systems.

K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Have properly installed electrical wiring and gas equipment.

K0511 · Services Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Have properly located and lighted "Exit" signs.

K0293 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Inspect, test, and maintain automatic sprinkler systems.

K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Provide properly protected cooking facilities.

K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Have simulated fire drills held at unexpected times.

K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Have generator or other power source capable of supplying service within 10 seconds.

K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 20, 2023)

Inspect, test, and maintain automatic sprinkler systems.

K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

Provide properly protected cooking facilities.

K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

Have properly installed electrical wiring and gas equipment.

K0511 · Services Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

Ensure proper usage of power strips and extension cords.

K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

Establish emergency prep training and testing.

E0036 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)

Keep aisles, corridors, and exits free of obstruction in case of emergency.

K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Dec 13, 2019)