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Deficiency Records for Mcrae Manor Nursing Home
A list of the most recent deficiencies for Mcrae Manor Nursing Home. 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 Mcrae Manor Nursing Home. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-12 | 2024-08-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-12 | 2024-08-21 | N |
| 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. | Health | 2024-07-12 | 2024-08-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-12 | 2024-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-12 | 2024-08-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-07-12 | 2024-08-21 | N |
| 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. | Health | 2024-07-12 | 2024-08-21 | 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 | 2024-07-12 | 2024-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-12 | 2024-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-12 | 2024-08-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-07-10 | 2024-08-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-10 | 2024-08-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-10 | 2024-08-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-10 | 2024-08-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-10 | 2024-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-10 | 2024-08-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-10 | 2024-08-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-10 | 2024-08-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-10 | 2024-08-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-10 | 2024-08-21 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2024-07-10 | 2024-08-21 | N |
| 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. | Health | 2022-11-10 | 2022-12-25 | 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 | 2022-11-10 | 2022-12-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-10 | 2019-11-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-10-10 | 2019-11-24 | 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 | 2019-10-10 | 2019-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-24 | N |
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