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Deficiency Records for Monroe Manor
A list of the most recent deficiencies for Monroe 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 Monroe 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-14 | 2024-10-04 | 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 | 2024-08-14 | 2024-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-14 | 2024-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-14 | 2024-10-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-14 | 2024-10-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-23 | 2024-08-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-28 | 2024-06-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-28 | 2024-06-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-30 | 2024-02-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-23 | 2024-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-23 | 2024-02-15 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-23 | 2024-02-13 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-06 | 2023-12-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-06 | 2023-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-14 | 2023-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-08-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-29 | 2022-10-28 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-04-09 | 2021-05-05 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-06 | 2021-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-06 | 2021-05-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-06 | 2021-05-05 | N |
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