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Deficiency Records for The Manor at Elfindale

A list of the most recent deficiencies for The Manor at Elfindale. 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 The Manor at Elfindale. 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?
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-02-05 2024-03-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-05 2024-03-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-02-05 2024-03-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-05 2024-03-15 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-12-03 2022-01-11 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 2021-12-03 2022-01-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-03 2022-01-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-12-03 2022-01-11 N
Meet other general requirements that are deficient. Fire Safety 2021-12-03 2022-01-11 N

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