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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?
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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