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Deficiency Records for Excel Care at Manalapan
A list of the most recent deficiencies for Excel Care at Manalapan. 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 Excel Care at Manalapan. 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? |
|---|---|---|---|---|
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-03-06 | 2024-04-16 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-03-06 | 2024-04-16 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-03-06 | 2024-04-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-06 | 2024-04-16 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-06 | 2024-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-06 | 2024-04-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-06 | 2024-04-16 | 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 | 2024-03-06 | 2024-04-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-06 | 2024-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-06 | 2024-04-16 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-06 | 2024-04-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-06 | 2024-04-16 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-03-06 | 2024-04-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-03-06 | 2024-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-06 | 2024-04-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-06 | 2024-04-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-06 | 2024-04-16 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-06 | 2024-04-16 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-03-06 | 2024-04-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-06 | 2024-04-16 | 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 | 2024-03-06 | 2024-04-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-06 | 2024-04-16 | Y |
| Provide appropriate foot care. | Health | 2024-03-06 | 2024-04-16 | Y |
| 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 | 2024-03-06 | 2024-04-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-06 | 2024-04-16 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-03-06 | 2024-04-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-06 | 2024-04-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-06 | 2024-04-16 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-06 | 2024-04-16 | 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 | 2024-03-06 | 2024-04-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-06 | 2024-04-16 | 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 | 2024-03-06 | 2024-04-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-06 | 2024-04-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-03-06 | 2024-04-16 | 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 | 2021-11-23 | 2022-01-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-23 | 2021-12-31 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-23 | 2021-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-23 | 2021-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-23 | 2021-12-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-23 | 2021-12-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-23 | 2021-11-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-10 | 2020-02-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-10 | 2020-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-10 | 2020-02-21 | 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 | 2020-01-10 | 2020-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-10 | 2020-02-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-10 | 2020-02-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-10 | 2020-02-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-10 | 2020-02-21 | N |
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