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Deficiency Records for Manawa Com Nur Ctr
A list of the most recent deficiencies for Manawa Com Nur Ctr. 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 Manawa Com Nur Ctr. 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? |
|---|---|---|---|---|
| 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 | 2024-07-26 | 2024-08-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-12 | 2024-07-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-12 | 2024-07-05 | Y |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2024-05-01 | 2024-05-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-01 | 2024-05-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-01 | 2024-05-28 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-14 | 2024-04-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-03-14 | 2024-04-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-14 | 2024-04-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-12 | 2024-04-03 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-12 | 2024-04-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-12 | 2024-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-14 | 2024-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-12 | 2024-04-02 | 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 | 2024-03-12 | 2024-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-12 | 2024-04-02 | 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 | 2024-03-14 | 2024-04-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-14 | 2024-04-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-14 | 2024-04-02 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-03-14 | 2024-04-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-14 | 2024-04-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-03-14 | 2024-04-02 | 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 | 2024-03-12 | 2024-03-16 | 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 | 2023-03-01 | 2023-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-28 | 2023-03-27 | 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 | 2023-03-01 | 2023-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-01 | 2023-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-01 | 2023-03-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-28 | 2023-03-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-02-28 | 2023-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-28 | 2023-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-28 | 2023-03-25 | 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 | 2023-03-01 | 2023-03-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-01 | 2023-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-17 | 2022-04-06 | N |
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