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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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