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Deficiency Records for Northville Manor
A list of the most recent deficiencies for Northville 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 Northville 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? |
|---|---|---|---|---|
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-31 | 2024-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-31 | 2024-07-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-31 | 2024-07-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-05-31 | 2024-07-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-31 | 2024-07-05 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-31 | 2024-07-05 | 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 | 2024-05-31 | 2024-07-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-31 | 2024-07-05 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-31 | 2024-07-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-31 | 2024-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-31 | 2024-07-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-31 | 2024-07-05 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-05-31 | 2024-07-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-31 | 2024-07-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-31 | 2024-07-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-30 | 2024-07-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-05-30 | 2024-07-05 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-05-30 | 2024-07-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-30 | 2024-07-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-05-30 | 2024-07-05 | 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 | 2024-05-30 | 2024-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-30 | 2024-07-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-05-30 | 2024-07-05 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-05-30 | 2024-07-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-30 | 2024-07-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-30 | 2024-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-30 | 2024-07-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-30 | 2024-07-05 | 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 | 2023-12-18 | 2024-01-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-18 | 2024-01-06 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-12-18 | 2024-01-06 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-09-27 | 2023-10-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-27 | 2023-10-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-13 | 2023-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-13 | 2023-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-06 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-09-13 | 2023-10-06 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-07-26 | 2023-09-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-27 | 2023-09-01 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2023-07-27 | 2023-09-01 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-07-27 | 2023-09-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-27 | 2023-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-27 | 2023-09-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-27 | 2023-09-01 | N |
| 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 | 2023-06-22 | 2023-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-27 | 2023-04-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-02 | 2022-12-30 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-12-02 | 2022-12-30 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-12-02 | 2022-12-30 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-02 | 2022-12-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-02 | 2022-12-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-02 | 2022-12-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-01 | 2022-11-09 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-27 | 2022-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-27 | 2022-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-27 | 2022-06-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-27 | 2022-05-20 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2022-04-27 | 2022-05-16 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-04-26 | 2022-05-05 | 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 | 2022-04-26 | 2022-05-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-26 | 2022-05-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-26 | 2022-05-05 | 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 | 2022-04-26 | 2022-05-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-26 | 2022-05-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-04-26 | 2022-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-26 | 2022-05-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-26 | 2022-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-26 | 2022-05-05 | N |
| Dispose of garbage and refuse properly. | Health | 2022-04-26 | 2022-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-26 | 2022-05-05 | N |
| Keep all essential equipment working safely. | Health | 2022-04-26 | 2022-05-05 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-04-26 | 2022-05-05 | N |
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