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Deficiency Records for Mulberry Manor
A list of the most recent deficiencies for Mulberry 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 Mulberry 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? |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-13 | 2024-08-01 | 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 | 2024-07-23 | 2024-07-30 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-23 | 2024-07-24 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-23 | 2024-07-24 | Y |
Respond appropriately to all alleged violations. | Health | 2024-07-23 | 2024-07-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-23 | 2024-07-08 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-14 | 2024-07-03 | 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 | 2024-06-13 | 2024-07-03 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-14 | 2024-06-19 | N |
Keep residents' personal and medical records private and confidential. | Health | 2024-06-14 | 2024-06-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-14 | 2024-06-19 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-06-14 | 2024-06-19 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-14 | 2024-06-19 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-06-14 | 2024-06-19 | 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 | 2024-06-14 | 2024-06-19 | N |
Ensure that residents are free from significant medication errors. | Health | 2024-06-14 | 2024-06-19 | 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 | 2024-06-14 | 2024-06-19 | N |
Provide and implement an infection prevention and control program. | Health | 2024-06-14 | 2024-06-19 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2024-06-13 | 2024-06-18 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-06-13 | 2024-06-18 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-06-13 | 2024-06-18 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-13 | 2024-06-18 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-13 | 2024-06-18 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-06-13 | 2024-06-18 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-13 | 2024-06-18 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-04 | 2024-05-03 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-04 | 2024-05-03 | Y |
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 | 2024-04-04 | 2024-05-03 | Y |
Provide activities to meet all resident's needs. | Health | 2023-12-15 | 2024-01-05 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-15 | 2024-01-05 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-15 | 2023-12-20 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-28 | 2023-06-30 | 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 | 2023-04-28 | 2023-06-19 | N |
Provide and implement an infection prevention and control program. | Health | 2023-04-28 | 2023-06-16 | N |
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 | 2023-04-28 | 2023-06-12 | N |
Respond appropriately to all alleged violations. | Health | 2023-04-28 | 2023-06-10 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-27 | 2023-05-24 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2022-05-12 | 2022-06-03 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-05-12 | 2022-06-03 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-12 | 2022-06-03 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-12 | 2022-06-03 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-12 | 2022-06-03 | 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 | 2022-03-10 | 2022-03-26 | Y |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-03-10 | 2022-03-26 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-10 | 2022-03-26 | Y |
Respond appropriately to all alleged violations. | Health | 2022-03-10 | 2022-03-26 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-10 | 2022-03-26 | Y |
Ensure the activities program is directed by a qualified professional. | Health | 2022-03-10 | 2022-03-26 | Y |
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 | 2022-03-10 | 2022-03-26 | 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 | 2022-03-10 | 2022-03-26 | Y |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-03-10 | 2022-03-26 | Y |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-03-10 | 2022-03-23 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-10 | 2022-03-23 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-10 | 2022-03-23 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-02-16 | 2022-03-15 | Y |
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