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Deficiency Records for Memorial Hospital Ltcu (village Manor)

A list of the most recent deficiencies for Memorial Hospital Ltcu (village 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 Memorial Hospital Ltcu (village 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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-05 2023-06-29 Y
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 2023-03-15 2023-04-15 N
Provide properly protected cooking facilities. Fire Safety 2023-03-15 2023-04-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-03-15 2023-04-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-15 2023-04-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-15 2023-04-15 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-03-15 2023-04-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-15 2023-04-15 N
Meet other general requirements. Fire Safety 2023-03-15 2023-03-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-15 2023-03-15 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-02-08 2023-03-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-08 2023-03-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-08 2023-03-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-08 2023-03-08 Y
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 2023-02-08 2023-03-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-20 2023-03-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-25 2022-08-05 Y
Address subsistence needs for staff and patients. Fire Safety 2021-09-09 2021-10-13 N
Establish policies and procedures for volunteers. Fire Safety 2021-09-09 2021-10-13 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 2021-09-09 2021-10-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-09-09 2021-10-13 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-09-09 2021-10-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-09-09 2021-10-13 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-09-09 2021-10-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-09 2021-10-13 N
Install an approved automatic sprinkler system. Fire Safety 2021-09-09 2021-09-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-09 2021-09-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-09-09 2021-09-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-04 2021-08-16 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 2019-06-24 2019-07-22 N
Provide and implement an infection prevention and control program. Health 2019-06-24 2019-07-22 N
Create arrangements with other facilities to receive patients. Fire Safety 2019-06-04 2019-06-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-06-04 2019-06-20 N

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