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Deficiency Records for Accordius Health at Scotland Manor

A list of the most recent deficiencies for Accordius Health at Scotland 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 Accordius Health at Scotland 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?
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Fire Safety 2024-10-09 2024-11-19 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-10-09 2024-11-19 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-09-11 2024-10-02 N
Provide and implement an infection prevention and control program. Health 2024-09-11 2024-10-02 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-06-21 2023-09-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-06-21 2023-09-14 N
Have proper medical gas storage and administration areas. Fire Safety 2023-06-21 2023-09-14 N
Assess the resident when there is a significant change in condition Health 2023-05-25 2023-06-09 N
Ensure each resident receives an accurate assessment. Health 2023-05-25 2023-06-09 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-05-25 2023-06-09 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 2023-05-25 2023-06-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-25 2023-06-09 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-05-25 2023-06-06 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 2022-01-07 2022-02-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-07 2022-02-02 N

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