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Deficiency Records for Festus Manor
A list of the most recent deficiencies for Festus 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 Festus 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-23 | 2024-09-16 | 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 | 2024-05-23 | 2024-09-16 | N |
| Post nurse staffing information every day. | Health | 2024-05-23 | 2024-09-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-05-23 | 2024-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-09-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-23 | 2024-09-16 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-05-23 | 2024-09-16 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-23 | 2024-09-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-23 | 2024-09-16 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-23 | 2024-09-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-11 | 2024-07-30 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-05-23 | 2024-06-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-23 | 2024-06-15 | 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 | 2024-05-23 | 2024-06-15 | 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 | 2024-05-23 | 2024-06-15 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-23 | 2024-06-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-23 | 2024-06-15 | 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 | 2024-05-23 | 2024-06-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-23 | 2024-06-15 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-05-23 | 2024-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-23 | 2024-06-15 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-23 | 2024-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-23 | 2024-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-23 | 2024-03-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-23 | 2024-03-19 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-12-20 | 2024-01-19 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-11-04 | 2022-12-19 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-11-04 | 2022-12-19 | 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 | 2022-11-04 | 2022-12-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-04 | 2022-12-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-04 | 2022-12-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-04 | 2022-12-19 | 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 | 2022-11-04 | 2022-12-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-04 | 2022-12-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-04 | 2022-12-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-11-04 | 2022-12-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-04 | 2022-12-19 | 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 | 2022-11-04 | 2022-12-19 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-11-04 | 2022-12-19 | 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 | 2022-11-04 | 2022-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-04 | 2022-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-04 | 2022-12-19 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-11-04 | 2022-12-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-04 | 2022-12-19 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-04 | 2022-12-19 | 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 | 2022-11-04 | 2022-12-19 | 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 | 2022-11-04 | 2022-12-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-04 | 2022-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-04 | 2022-12-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-04 | 2022-12-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-04 | 2022-12-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-14 | 2022-12-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-17 | 2022-09-02 | Y |
| 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 | 2022-08-17 | 2022-09-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-23 | 2022-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-23 | 2022-04-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-15 | 2019-12-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-15 | 2019-12-19 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-11-15 | 2019-12-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-15 | 2019-12-19 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-11-15 | 2019-12-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-15 | 2019-12-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-15 | 2019-12-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-15 | 2019-12-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-15 | 2019-12-19 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-01-12 | Not Fixed | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-01-12 | Not Fixed | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-05-23 | Not Fixed | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-23 | Not Fixed | Y |
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