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Deficiency Records for Moran Manor

A list of the most recent deficiencies for Moran Manor. 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 Moran 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?
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-10-11 2023-12-01 N
Address patient/client population and determine types of services needed. Fire Safety 2023-10-11 2023-12-01 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2023-10-11 2023-12-01 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2023-10-11 2023-12-01 N
Establish policies and procedures for medical documentation. Fire Safety 2023-10-11 2023-12-01 N
List the names and contact information of those in the facility. Fire Safety 2023-10-11 2023-12-01 N
Provide family notifications of emergency plan. Fire Safety 2023-10-11 2023-12-01 N
Establish staff and initial training requirements. Fire Safety 2023-10-11 2023-12-01 N
Conduct testing and exercise requirements. Fire Safety 2023-10-11 2023-12-01 N
Meet other general requirements. Fire Safety 2023-10-11 2023-12-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-10-11 2023-12-01 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-10-11 2023-12-01 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-10-11 2023-12-01 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 2023-10-11 2023-12-01 N
Provide properly protected cooking facilities. Fire Safety 2023-10-11 2023-12-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-10-11 2023-12-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-11 2023-12-01 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-10-11 2023-12-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-10-11 2023-12-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-10-11 2023-12-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-10-11 2023-12-01 N
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2023-10-11 2023-12-01 N
Provide a written emergency evacuation plan. Fire Safety 2023-10-11 2023-12-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-10-11 2023-12-01 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-10-11 2023-12-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-10-11 2023-12-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-10-11 2023-12-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-10-11 2023-12-01 N
Have proper medical gas storage and administration areas. Fire Safety 2023-10-11 2023-12-01 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-10-11 2023-11-16 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-08-31 2023-09-21 N
Ensure each resident receives an accurate assessment. Health 2023-08-31 2023-09-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-31 2023-09-21 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 2023-08-31 2023-09-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-31 2023-09-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-31 2023-09-21 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 2023-08-31 2023-09-21 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-31 2023-09-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-31 2023-09-21 N
Provide and implement an infection prevention and control program. Health 2023-08-31 2023-09-21 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-08-31 2023-09-21 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-06-20 2023-06-19 Y
Assess the resident when there is a significant change in condition Health 2022-03-16 2022-04-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-16 2022-04-01 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-03-16 2022-04-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-16 2022-04-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-16 2022-04-01 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-03-01 2022-03-31 N
Provide properly protected cooking facilities. Fire Safety 2022-03-01 2022-03-31 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-03-01 2022-03-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-03-01 2022-03-31 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-03-01 2022-03-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-03-01 2022-03-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-01 2022-03-01 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2021-12-21 2022-01-04 Y
Assess the resident when there is a significant change in condition Health 2020-08-20 2020-09-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-08-20 2020-09-10 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 2020-08-20 2020-09-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-08-20 2020-09-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-08-20 2020-09-10 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 2020-08-20 2020-09-10 N
Provide properly protected cooking facilities. Fire Safety 2020-02-10 2020-03-10 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2020-02-10 2020-03-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-02-10 2020-03-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-02-10 2020-03-10 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2020-02-10 2020-03-10 N

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