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Deficiency Records for Towne Manor East

A list of the most recent deficiencies for Towne Manor East. 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 Towne Manor East. 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?
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-05-16 2024-06-17 Y
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2024-05-16 2024-06-17 Y
Conduct testing and exercise requirements. Fire Safety 2024-02-08 2024-03-15 N
Meet other general requirements. Fire Safety 2024-02-08 2024-03-15 N
Use approved construction type or materials. Fire Safety 2024-02-08 2024-03-15 N
Provide properly protected cooking facilities. Fire Safety 2024-02-08 2024-03-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-08 2024-03-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-02-08 2024-03-15 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-02-08 2024-03-15 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2024-01-22 2024-02-21 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2024-01-22 2024-02-21 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2024-01-22 2024-02-21 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-01-22 2024-02-21 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 2024-01-22 2024-02-21 N
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Health 2024-01-22 2024-02-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-22 2024-02-21 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 2024-01-22 2024-02-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-22 2024-02-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-22 2024-02-21 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-01-22 2024-02-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-22 2024-02-21 N
Observe each nurse aide's job performance and give regular training. Health 2024-01-22 2024-02-21 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-22 2024-02-21 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 2024-01-22 2024-02-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-22 2024-02-21 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-01-22 2024-02-21 N
Provide and implement an infection prevention and control program. Health 2024-01-22 2024-02-21 N
Keep all essential equipment working safely. Health 2024-01-22 2024-02-21 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-01-22 2024-02-21 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-01-22 2024-02-21 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 2023-11-08 2023-11-30 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-10-30 2023-11-30 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-10-30 2023-11-30 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-07-19 2023-08-14 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-03-28 2023-04-28 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 2023-03-28 2023-04-28 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-28 2023-04-28 N
Respond appropriately to all alleged violations. Health 2023-03-28 2023-04-28 N
Ensure each resident receives an accurate assessment. Health 2023-03-28 2023-04-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-28 2023-04-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-28 2023-04-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-28 2023-04-28 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2023-03-28 2023-04-28 N
Observe each nurse aide's job performance and give regular training. Health 2023-03-28 2023-04-28 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 2023-03-28 2023-04-28 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 2023-03-28 2023-04-28 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-03-28 2023-04-28 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2023-03-28 2023-04-28 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2023-03-28 2023-04-28 N
Dispose of garbage and refuse properly. Health 2023-03-28 2023-04-28 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-03-28 2023-04-28 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2023-03-28 2023-04-28 N
Keep all essential equipment working safely. Health 2023-03-28 2023-04-28 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-03-28 2023-04-28 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-01-31 2023-03-10 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-01-31 2023-03-10 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-01-31 2023-03-10 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-01-31 2023-03-10 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2023-01-31 2023-03-10 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-31 2023-03-10 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-29 2022-08-11 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-29 2022-08-11 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-05-24 2022-06-30 N
Use approved construction type or materials. Fire Safety 2022-05-24 2022-06-30 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-05-24 2022-06-30 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 2022-05-24 2022-06-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-05-24 2022-06-30 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-05-24 2022-06-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-05-24 2022-06-30 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-05-06 2022-06-06 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-05-06 2022-06-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-21 Not Fixed Y

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