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Deficiency Records for Normandy Nursing Center
A list of the most recent deficiencies for Normandy Nursing Center. 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 Normandy Nursing Center. 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? |
---|---|---|---|---|
Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-15 | 2024-02-01 | 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 | 2023-12-15 | 2024-02-01 | 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 | 2023-12-15 | 2024-02-01 | Y |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-12-15 | 2024-02-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-15 | 2024-02-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-15 | 2024-02-01 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-15 | 2024-02-01 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-15 | 2024-02-01 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-15 | 2024-01-31 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-15 | 2024-01-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-15 | 2024-01-29 | N |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-12-15 | 2024-01-18 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-12-15 | 2024-01-18 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-15 | 2024-01-18 | 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 | 2023-12-15 | 2024-01-18 | N |
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 | 2023-12-15 | 2024-01-18 | 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 | 2023-12-15 | 2024-01-12 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-15 | 2024-01-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-20 | 2023-10-14 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-14 | 2023-05-10 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-11 | 2023-02-10 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-08 | 2023-02-10 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-14 | 2022-12-07 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-14 | 2022-12-07 | 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 | 2022-09-08 | 2022-10-05 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-31 | 2022-06-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-31 | 2022-06-22 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-05-31 | 2022-06-22 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-05-31 | 2022-06-22 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-12 | 2022-06-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-12 | 2022-06-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-12 | 2022-06-22 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-04-12 | 2022-06-22 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-04-12 | 2022-06-22 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-12 | 2022-04-27 | Y |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-09-15 | 2020-10-20 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-15 | 2020-10-20 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-15 | 2020-10-20 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-15 | 2020-10-20 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-15 | 2020-10-20 | 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 | 2020-09-15 | 2020-10-20 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-07 | 2019-03-20 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-02-07 | 2019-03-20 | N |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-02-07 | 2019-03-20 | N |
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-02-07 | 2019-03-20 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-02-07 | 2019-03-20 | 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 | 2019-02-07 | 2019-03-20 | 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 | 2019-02-07 | 2019-03-20 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-02-07 | 2019-03-20 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-07 | 2019-03-20 | 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 | 2019-02-07 | 2019-03-20 | N |
Provide activities to meet all resident's needs. | Health | 2019-02-07 | 2019-03-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-20 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-02-07 | 2019-03-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-20 | N |
Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-02-07 | 2019-03-20 | N |
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2019-02-07 | 2019-03-20 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-02-07 | 2019-03-20 | N |
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-02-07 | 2019-03-20 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-07 | 2019-03-20 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-02-07 | 2019-03-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-07 | 2019-03-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-07 | 2019-03-20 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-07 | 2019-03-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-07 | 2019-03-20 | N |
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