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Deficiency Records for Auburn Manor
A list of the most recent deficiencies for Auburn 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 Auburn 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? |
---|---|---|---|---|
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-05-31 | 2024-07-26 | N |
Implement a program that monitors antibiotic use. | Health | 2024-05-31 | 2024-07-19 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-31 | 2024-07-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-31 | 2024-07-19 | 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 | 2024-05-31 | 2024-07-19 | N |
Provide and implement an infection prevention and control program. | Health | 2024-05-31 | 2024-07-19 | 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 | 2024-07-19 | N |
Provide family notifications of emergency plan. | Fire Safety | 2024-05-31 | 2024-07-19 | 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 | 2024-05-29 | 2024-07-19 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-29 | 2024-07-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-29 | 2024-06-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-17 | 2023-06-03 | Y |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-30 | 2023-05-19 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-30 | 2023-05-19 | 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 | 2023-03-30 | 2023-05-19 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-28 | 2023-05-19 | 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 | 2023-03-30 | 2023-05-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-14 | 2023-05-03 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-30 | 2023-04-28 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-28 | 2023-04-28 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-28 | 2023-04-28 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-07 | 2023-01-31 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-09 | 2022-03-31 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-17 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-02-12 | 2020-03-17 | N |
Have restrictions on the use of flammable curtains. | Fire Safety | 2020-02-12 | 2020-03-17 | N |
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