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Deficiency Records for Celina Manor

A list of the most recent deficiencies for Celina 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 Celina 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-10 2023-06-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-10 2023-06-09 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-05-10 2023-06-09 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 2023-05-10 2023-06-09 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2023-05-10 2023-06-09 N
Provide and implement an infection prevention and control program. Health 2023-05-10 2023-06-09 N
Use approved construction type or materials. Fire Safety 2023-05-08 2023-06-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-08 2023-06-09 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-05-08 2023-06-09 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 2019-12-19 2020-01-24 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-12-19 2020-01-24 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 2019-12-19 2020-01-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-12-19 2020-01-24 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 2019-12-19 2020-01-24 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 2019-12-16 2020-01-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-12-16 2020-01-24 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-12-16 2020-01-24 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2019-12-16 2020-01-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-12-16 2020-01-24 N
Have proper medical gas storage and administration areas. Fire Safety 2019-12-16 2020-01-24 N
Reasonably accommodate the needs and preferences of each resident. Health 2018-10-18 2018-11-16 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-10-18 2018-11-16 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2018-10-18 2018-11-16 N
Ensure each resident receives an accurate assessment. Health 2018-10-18 2018-11-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-10-18 2018-11-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-10-18 2018-11-16 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-10-18 2018-11-16 N
Provide or obtain dental services for each resident. Health 2018-10-18 2018-11-16 N
Provide and implement an infection prevention and control program. Health 2018-10-18 2018-11-16 N
Implement a program that monitors antibiotic use. Health 2018-10-18 2018-11-16 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2018-10-15 2018-11-16 N

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