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Deficiency Records for Salina Presbyterian Manor
A list of the most recent deficiencies for Salina Presbyterian 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 Salina Presbyterian 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-13 | 2024-01-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-13 | 2024-01-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-13 | 2024-01-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-13 | 2024-01-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-13 | 2024-01-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-13 | 2024-01-22 | 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 | 2023-10-30 | 2023-12-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-30 | 2023-12-05 | 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 | 2023-10-30 | 2023-12-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-10-30 | 2023-12-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-30 | 2023-12-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-30 | 2023-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-30 | 2023-12-05 | 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 | 2023-10-30 | 2023-12-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-30 | 2023-12-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-30 | 2023-12-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-30 | 2023-12-05 | 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 | 2023-10-30 | 2023-12-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-30 | 2023-12-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-30 | 2023-12-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-30 | 2023-12-05 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-10-30 | 2023-12-05 | 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 | 2022-05-03 | 2022-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-03 | 2022-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-03 | 2022-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-03 | 2022-06-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-03 | 2022-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-28 | 2022-05-03 | Y |
| Post nurse staffing information every day. | Health | 2022-03-28 | 2022-05-03 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-28 | 2022-05-03 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-28 | 2022-05-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-28 | 2022-05-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-28 | 2022-05-03 | Y |
| 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 | 2020-02-06 | 2020-02-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-06 | 2020-02-19 | N |
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