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Deficiency Records for Nursing and Rehabilitation at The Mansion

A list of the most recent deficiencies for Nursing and Rehabilitation at The Mansion. 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 Nursing and Rehabilitation at The Mansion. 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?
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-23 2024-03-13 Y
Respond appropriately to all alleged violations. Health 2024-01-19 2024-03-13 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-01-19 2024-03-13 N
Ensure each resident receives an accurate assessment. Health 2024-01-19 2024-03-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-19 2024-03-13 N
Provide enough food/fluids to maintain a resident's health. Health 2024-01-19 2024-03-13 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-01-19 2024-03-13 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 2024-01-19 2024-03-13 N
Dispose of garbage and refuse properly. Health 2024-01-19 2024-03-13 N
Provide and implement an infection prevention and control program. Health 2024-01-19 2024-03-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-19 2024-01-19 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 2023-12-06 2024-01-04 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 2023-02-10 2023-03-24 N
Provide enough food/fluids to maintain a resident's health. Health 2023-02-10 2023-03-24 N
Ensure medication error rates are not 5 percent or greater. Health 2023-02-10 2023-03-24 N
Meet other general requirements. Fire Safety 2022-02-22 2022-03-31 N
Use approved construction type or materials. Fire Safety 2022-02-22 2022-03-31 N
Provide at least two remote exits on each floor or fire section of the building. Fire Safety 2022-02-22 2022-03-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-02-22 2022-03-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-02-22 2022-03-31 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-02-22 2022-03-31 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-02-11 2022-03-25 N
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 2022-02-11 2022-03-25 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 2022-02-11 2022-03-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-11 2022-03-25 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-02-11 2022-03-25 N
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 2022-02-11 2022-03-25 N
Provide enough food/fluids to maintain a resident's health. Health 2022-02-11 2022-03-25 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-02-11 2022-03-25 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-02-11 2022-03-25 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2022-02-11 2022-03-25 N
Ensure medication error rates are not 5 percent or greater. Health 2022-02-11 2022-03-25 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 2022-02-11 2022-03-25 N
Put firmly secured handrails on each side of hallways. Health 2022-02-11 2022-03-25 N

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