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Deficiency Records for Thornapple Manor
A list of the most recent deficiencies for Thornapple 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 Thornapple 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-02 | 2024-03-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-02 | 2024-03-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-02 | 2024-03-04 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-02-02 | 2024-03-04 | 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 | 2024-02-02 | 2024-03-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-02 | 2024-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-02 | 2024-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-02 | 2024-03-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-02 | 2024-02-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-02 | 2024-02-23 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-02-02 | 2024-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-07 | 2023-12-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-07 | 2023-12-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-11 | 2023-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-11 | 2023-10-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-08 | 2023-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-01-06 | 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 | 2022-12-07 | 2023-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-17 | 2021-09-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-17 | 2021-09-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-17 | 2021-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-17 | 2021-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-17 | 2021-09-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-18 | 2021-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-18 | 2021-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-18 | 2021-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-15 | N |
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