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Deficiency Records for Moundridge Manor

A list of the most recent deficiencies for Moundridge 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 Moundridge 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?
Provide properly protected cooking facilities. Fire Safety 2023-04-19 2023-05-26 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2023-04-19 2023-05-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-19 2023-05-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-04-19 2023-05-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-04-19 2023-05-26 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-04-19 2023-05-26 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-04-19 2023-05-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-19 2023-05-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-04-19 2023-05-26 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-03-15 2023-04-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-15 2023-04-26 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 2023-03-15 2023-04-26 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 2023-03-15 2023-04-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-18 2023-04-10 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 2021-10-05 2021-10-13 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 2021-10-05 2021-10-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-10-05 2021-10-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-10-05 2021-10-13 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-10-05 2021-10-13 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-10-05 2021-10-13 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-10-05 2021-10-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-01-30 2019-02-08 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2019-01-30 2019-02-05 N
Install an approved automatic sprinkler system. Fire Safety 2019-01-30 2019-02-01 N

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