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Deficiency Records for Northampton Manor Nursing and Rehabilitation Cente
A list of the most recent deficiencies for Northampton Manor Nursing and Rehabilitation Cente. 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 Northampton Manor Nursing and Rehabilitation Cente. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-04 | 2019-10-28 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-10-04 | 2019-10-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-04 | 2019-10-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-04 | 2019-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-04 | 2019-10-28 | 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 | 2019-10-04 | 2019-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-04 | 2019-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-04 | 2019-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-04 | 2019-10-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-10-04 | 2019-10-28 | N |
| Post nurse staffing information every day. | Health | 2019-10-04 | 2019-10-28 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-10-04 | 2019-10-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-04 | 2019-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-04 | 2019-10-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-04 | 2019-10-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-10-04 | 2019-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-04 | 2019-10-28 | N |
| Keep all essential equipment working safely. | Health | 2019-10-04 | 2019-10-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-07 | 2018-07-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-07 | 2018-07-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-06-07 | 2018-07-19 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-06-07 | 2018-07-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-07 | 2018-07-19 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-06-07 | 2018-07-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-07 | 2018-07-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-06-07 | 2018-07-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-07 | 2018-07-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-07 | 2018-07-19 | 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 | 2018-06-07 | 2018-07-19 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-07 | 2018-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-07 | 2018-07-19 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-06-07 | 2018-07-19 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-06-07 | 2018-07-19 | 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 | 2018-06-07 | 2018-07-19 | 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 | 2018-06-07 | 2018-07-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-06-07 | 2018-07-19 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-06-07 | 2018-07-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-06-07 | 2018-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-07 | 2018-07-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-07 | 2018-07-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-06-07 | 2018-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-07 | 2018-07-19 | N |
| Keep all essential equipment working safely. | Health | 2018-06-07 | 2018-07-19 | N |
| 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 | 2018-05-29 | 2018-06-15 | 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 | 2018-05-29 | 2018-06-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-17 | 2017-04-13 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-17 | 2017-04-13 | N |
| Provide clean bed and bath linens that are in good condition. | Health | 2017-03-17 | 2017-04-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-17 | 2017-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-17 | 2017-04-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-17 | 2017-04-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-17 | 2017-04-13 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-03-17 | 2017-04-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-17 | 2017-04-13 | N |
| Keep all essential equipment working safely. | Health | 2017-03-17 | 2017-04-13 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-17 | 2017-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-23 | 2017-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-23 | 2017-03-27 | N |
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