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Deficiency Records for Renaissance Manor On Cabot
A list of the most recent deficiencies for Renaissance Manor On Cabot. 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 Renaissance Manor On Cabot. 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? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-31 | 2024-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-31 | 2024-11-17 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-10-31 | 2024-11-15 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-10-07 | 2024-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-07 | 2024-11-14 | 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 | 2024-10-07 | 2024-11-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-07 | 2024-11-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-07 | 2024-11-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-07 | 2024-11-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-07 | 2024-11-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-07 | 2024-11-14 | 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 | 2024-10-07 | 2024-11-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-10-07 | 2024-11-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-10-07 | 2024-11-14 | 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 | 2024-10-07 | 2024-11-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-07 | 2024-11-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-10-07 | 2024-11-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-02-01 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-14 | 2023-09-09 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-14 | 2023-08-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-08 | 2023-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-08 | 2023-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-08 | 2023-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-08 | 2023-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-14 | 2023-08-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-02-02 | 2023-02-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-02 | 2023-02-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-02 | 2023-02-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-26 | 2022-09-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-26 | 2022-09-28 | 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 | 2022-08-26 | 2022-09-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-26 | 2022-09-28 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-08-26 | 2022-09-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-08 | 2022-09-22 | 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 | 2022-09-08 | 2022-09-22 | 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 | 2022-09-08 | 2022-09-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-08 | 2022-09-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-08 | 2022-09-22 | N |
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