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Deficiency Records for Topside Manor Inc
A list of the most recent deficiencies for Topside Manor Inc. 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 Topside Manor Inc. 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? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-08 | 2024-11-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-10-08 | 2024-11-05 | N |
| Develop a communication plan. | Fire Safety | 2024-10-08 | 2024-11-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-10-08 | 2024-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-08 | 2024-11-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-08 | 2024-11-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-08 | 2024-11-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-08 | 2024-11-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-10-08 | 2024-11-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-08 | 2024-11-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-29 | 2024-09-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-29 | 2024-09-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-29 | 2024-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-29 | 2024-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-29 | 2024-09-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-08-29 | 2024-09-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-08-29 | 2024-09-26 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-08-29 | 2024-09-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-29 | 2024-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-29 | 2024-09-26 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-08-29 | 2024-09-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-29 | 2024-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-03 | 2024-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-01 | 2024-04-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-01 | 2024-04-15 | 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 | 2024-04-01 | 2024-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-04 | 2024-04-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-04 | 2024-04-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-04 | 2024-04-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-04 | 2024-04-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-28 | 2023-12-22 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-03 | 2023-11-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-10-03 | 2023-11-02 | N |
| Develop a communication plan. | Fire Safety | 2023-10-03 | 2023-11-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-10-03 | 2023-11-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-03 | 2023-11-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-03 | 2023-11-02 | 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 | 2023-10-03 | 2023-11-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-03 | 2023-11-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-03 | 2023-11-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-03 | 2023-11-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-03 | 2023-11-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-03 | 2023-11-02 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-10-03 | 2023-11-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-31 | 2023-09-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-31 | 2023-09-30 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-31 | 2023-09-30 | 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 | 2023-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-31 | 2023-09-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-31 | 2023-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-09-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-31 | 2023-09-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-31 | 2023-09-30 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-31 | 2023-09-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-08-31 | 2023-09-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-31 | 2023-09-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-31 | 2023-09-30 | 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 | 2023-09-30 | N |
| Keep all essential equipment working safely. | Health | 2023-08-31 | 2023-09-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-09 | 2023-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-09 | 2023-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-05 | 2023-05-01 | 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 | 2022-04-05 | 2022-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-05 | 2022-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-05 | 2022-04-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-17 | 2022-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-17 | 2022-04-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-17 | 2022-04-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-17 | 2022-04-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-17 | 2022-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-17 | 2022-04-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-17 | 2022-04-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-17 | 2022-04-15 | 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 | 2022-03-17 | 2022-04-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-17 | 2022-04-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-17 | 2022-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-15 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-16 | 2022-03-01 | Y |
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