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Deficiency Records for Care Manor Nursing and Rehab
A list of the most recent deficiencies for Care Manor Nursing and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Care Manor Nursing and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-16 | 2024-06-15 | N |
| 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. | Health | 2024-05-16 | 2024-06-15 | N |
| 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. | Health | 2024-05-16 | 2024-06-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-16 | 2024-06-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-06-15 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-05-16 | 2024-06-15 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-16 | 2024-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-10 | 2023-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-10 | 2023-04-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-10 | 2023-04-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-10 | 2023-04-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-03-10 | 2023-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-04-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-06 | 2023-04-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-19 | 2023-03-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-19 | 2023-02-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-19 | 2023-02-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-16 | 2022-06-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-10 | 2021-12-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-11-10 | 2021-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-10 | 2021-12-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-10 | 2021-12-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-10 | 2021-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-10 | 2021-12-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-11-10 | 2021-12-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-10 | 2021-12-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-10 | 2021-12-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-11-10 | 2021-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-10 | 2021-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-10 | 2021-12-10 | N |
| 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. | Health | 2021-11-10 | 2021-12-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-11-10 | 2021-12-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-09 | 2021-12-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-11-09 | 2021-12-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-09 | 2021-12-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-10 | 2021-11-10 | N |
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