Deficiency Records for Miller's Merry Manor

A list of the most recent deficiencies for Miller's Merry Manor. 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?
Address subsistence needs for staff and patients.	Fire Safety	2023-08-29	2023-08-30	N
Ensure proper usage of power strips and extension cords.	Fire Safety	2023-08-29	2023-08-30	N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Health	2023-07-31	2023-08-27	N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	Health	2023-07-31	2023-08-27	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	2023-07-31	2023-08-27	N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Health	2023-07-31	2023-08-27	N
Ensure each resident?s drug regimen must be free from unnecessary drugs.	Health	2023-07-31	2023-08-27	N
Implement a program that monitors antibiotic use.	Health	2023-07-31	2023-08-27	N
Have exits that are accessible at all times.	Fire Safety	2022-07-21	2022-09-01	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	2022-07-21	2022-09-01	N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	Health	2022-06-07	2022-07-08	N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Health	2022-06-07	2022-07-08	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	2022-06-07	2022-07-08	N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.	Health	2022-06-07	2022-07-08	N
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Health	2022-06-07	2022-07-08	N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Health	2022-06-07	2022-07-08	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	2022-06-07	2022-07-08	N
Provide safe and appropriate respiratory care for a resident when needed.	Health	2022-06-07	2022-07-08	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	2022-06-07	2022-07-08	N
Ensure medication error rates are not 5 percent or greater.	Health	2022-06-07	2022-07-08	N
Provide care and assistance to perform activities of daily living for any resident who is unable.	Health	2022-06-07	2022-07-08	Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Fire Safety	2020-01-29	2020-02-25	N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Fire Safety	2020-01-29	2020-02-25	N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Fire Safety	2020-01-29	2020-02-25	N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	Health	2019-12-06	2020-01-05	N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	Health	2019-12-06	2020-01-05	N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	Health	2019-12-06	2020-01-05	N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.	Health	2019-12-06	2020-01-05	N
PASARR screening for Mental disorders or Intellectual Disabilities	Health	2019-12-06	2020-01-05	N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Health	2019-12-06	2020-01-05	N
Provide appropriate treatment and care according to orders, resident?s preferences and goals.	Health	2019-12-06	2020-01-05	N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	Health	2019-12-06	2020-01-05	N
Ensure each resident?s drug regimen must be free from unnecessary drugs.	Health	2019-12-06	2020-01-05	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	2019-12-06	2020-01-05	N
Develop and implement policies and procedures for flu and pneumonia vaccinations.	Health	2019-12-06	2020-01-05	N

Deficiency Records for Miller's Merry Manor

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