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Deficiency Records for Letcher Manor
A list of the most recent deficiencies for Letcher 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 Letcher 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 medication error rates are not 5 percent or greater. | Health | 2024-04-05 | 2024-05-03 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-04-05 | 2024-05-03 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-04-02 | 2024-05-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-02 | 2024-05-02 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-04-02 | 2024-05-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-02 | 2024-05-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-02 | 2024-05-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-02 | 2024-05-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-02 | 2024-05-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-04-02 | 2024-05-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-02 | 2024-05-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-07 | 2019-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-07 | 2019-11-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-11-07 | 2019-11-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-07 | 2019-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-11 | 2018-11-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-11 | 2018-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-11-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-26 | 2018-10-25 | N |
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