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Deficiency Records for Antlers Manor
A list of the most recent deficiencies for Antlers 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 Antlers 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-08 | 2024-03-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-08 | 2024-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-08 | 2024-03-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-14 | 2024-01-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-14 | 2024-01-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-14 | 2024-01-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-14 | 2024-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-14 | 2024-01-02 | 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 | 2023-11-14 | 2024-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-14 | 2024-01-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-14 | 2022-09-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-07-14 | 2022-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-14 | 2022-08-31 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-07-15 | 2022-08-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-15 | 2022-08-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-07-15 | 2022-08-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-15 | 2022-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-15 | 2022-08-15 | 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 | 2022-07-15 | 2022-08-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-14 | 2022-08-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-07-14 | 2022-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-05 | 2021-11-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-29 | 2020-02-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-29 | 2020-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-29 | 2020-02-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-29 | 2020-02-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-29 | 2020-02-24 | N |
| Have an externally vented heating system. | Fire Safety | 2020-01-29 | 2020-02-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-29 | 2020-02-24 | N |
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