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Deficiency Records for The Manor of Novi
A list of the most recent deficiencies for The Manor of Novi. 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 The Manor of Novi. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-27 | 2024-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-27 | 2024-10-03 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-08-27 | 2024-10-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-02-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-21 | 2024-01-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-12-21 | 2024-01-25 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-12-21 | 2024-01-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-21 | 2024-01-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-21 | 2024-01-25 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-12-21 | 2024-01-25 | 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 | 2023-12-21 | 2024-01-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-21 | 2024-01-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-21 | 2024-01-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-21 | 2024-01-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-21 | 2024-01-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-21 | 2024-01-25 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-20 | 2024-01-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-05 | 2023-10-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-05 | 2023-10-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-05 | 2023-10-31 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-05 | 2023-10-31 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-20 | 2023-03-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-20 | 2023-02-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-20 | 2023-02-16 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-01-20 | 2023-02-16 | 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 | 2023-01-20 | 2023-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-20 | 2023-02-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-20 | 2023-02-16 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-01-20 | 2023-02-16 | 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 | 2023-01-20 | 2023-02-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-20 | 2023-02-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-01-20 | 2023-02-16 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-01-20 | 2023-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-20 | 2023-02-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-20 | 2023-02-16 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-01-20 | 2023-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-20 | 2023-02-16 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-19 | 2023-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-19 | 2023-02-16 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-07-13 | 2022-08-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-13 | 2022-08-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-13 | 2022-08-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-13 | 2022-08-03 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-01-13 | 2022-02-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-13 | 2022-02-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-13 | 2022-02-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-13 | 2022-02-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-13 | 2022-02-08 | Y |
| 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 | 2021-09-21 | 2021-10-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-21 | 2021-10-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-09-21 | 2021-10-18 | 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 | 2021-09-21 | 2021-10-18 | 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 | 2021-09-21 | 2021-10-18 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-09-21 | 2021-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-21 | 2021-10-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-21 | 2021-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-21 | 2021-10-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-09-21 | 2021-10-18 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-09-27 | 2021-10-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-09-27 | 2021-10-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-09-27 | 2021-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-27 | 2021-10-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-27 | 2021-10-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-27 | 2021-10-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-27 | 2021-10-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-09-27 | 2021-10-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-09-27 | 2021-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-27 | 2021-10-15 | N |
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