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Deficiency Records for Harmony Manor Skilled Nursing Facility
A list of the most recent deficiencies for Harmony Manor Skilled Nursing Facility. 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 Harmony Manor Skilled Nursing Facility. 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? |
---|---|---|---|---|
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-04 | 2024-04-19 | 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 | 2024-04-04 | 2024-04-19 | 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 | 2024-04-04 | 2024-04-17 | N |
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-04 | 2024-04-17 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-04-04 | 2024-04-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-03 | 2024-04-17 | 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 | 2024-04-04 | 2024-04-15 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-04 | 2024-04-15 | 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 | 2024-04-03 | 2024-04-15 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-04-03 | 2024-04-15 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-04-03 | 2024-04-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-04 | 2024-04-12 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2024-04-03 | 2024-04-11 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2024-04-03 | 2024-04-11 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-20 | 2023-06-16 | 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 | 2023-04-19 | 2023-06-16 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-19 | 2023-05-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-19 | 2023-05-19 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-19 | 2023-05-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-19 | 2023-05-19 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-06-09 | 2022-08-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-09 | 2022-07-22 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-09 | 2022-07-22 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-09 | 2022-07-01 | Y |
Ensure the activities program is directed by a qualified professional. | Health | 2022-06-09 | 2022-07-01 | 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 | 2022-06-09 | 2022-07-01 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-09 | 2022-07-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-09 | 2022-07-01 | Y |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-09 | 2022-06-30 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-09 | 2022-06-30 | N |
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