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Deficiency Records for Boyce Manor Nursing Home

A list of the most recent deficiencies for Boyce Manor Nursing Home. 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 Boyce Manor Nursing Home. 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?
Have properly located and lighted "Exit" signs. Fire Safety 2024-03-13 2024-04-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-13 2024-04-20 N
Have power receptacles that are properly grounded. Fire Safety 2024-03-13 2024-04-20 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-12-07 2024-02-05 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-12-07 2024-01-22 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-12-07 2024-01-22 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-12-07 2024-01-22 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-12-07 2024-01-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-07 2024-01-22 N
Provide enough food/fluids to maintain a resident's health. Health 2023-12-07 2024-01-22 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 2023-12-07 2024-01-22 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 2023-12-07 2024-01-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-07 2024-01-22 N
Provide and implement an infection prevention and control program. Health 2023-12-07 2024-01-22 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-12-05 2023-02-20 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-12-05 2023-02-20 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-12-05 2023-02-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-05 2023-02-20 Y
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 2022-12-05 2023-02-20 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-12-05 2022-12-23 N
Assess the resident when there is a significant change in condition Health 2022-12-05 2022-12-23 N
Ensure each resident receives an accurate assessment. Health 2022-12-05 2022-12-23 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-12-05 2022-12-23 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2022-12-05 2022-12-23 N
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2022-12-05 2022-12-23 N
Provide and implement an infection prevention and control program. Health 2022-12-05 2022-12-23 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-11-29 2022-12-23 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-11-29 2022-12-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-11-29 2022-12-23 N
Have proper medical gas storage and administration areas. Fire Safety 2022-11-29 2022-12-23 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-04-01 2021-05-01 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-03-31 2021-04-29 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2021-03-31 2021-04-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-03-31 2021-04-27 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 2021-04-01 2021-04-19 N
Provide activities to meet all resident's needs. Health 2021-04-01 2021-04-05 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2021-04-01 2021-04-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-04-01 2021-04-05 N
Ensure medication error rates are not 5 percent or greater. Health 2021-04-01 2021-04-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-01 2021-04-05 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2021-03-31 2021-04-05 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-03-31 2021-04-05 N

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