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Deficiency Records for Peabody Manor

A list of the most recent deficiencies for Peabody 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 Peabody 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 2024-12-18 2025-01-22 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-12-18 2025-01-15 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 2024-12-18 2025-01-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-12-18 2025-01-15 N
Provide and implement an infection prevention and control program. Health 2024-12-18 2025-01-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-18 2025-01-15 Y
Establish policies and procedures for sheltering. Fire Safety 2024-12-18 2025-01-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-12-18 2025-01-15 N
Provide properly protected cooking facilities. Fire Safety 2024-12-18 2025-01-15 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-12-18 2025-01-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-12-18 2025-01-15 N
Have restrictions on the use of portable space heaters. Fire Safety 2024-12-18 2025-01-15 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 2024-12-18 2025-01-14 N
Use approved construction type or materials. Fire Safety 2024-12-18 2025-01-13 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-12-18 2025-01-13 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-12-18 2025-01-13 N
Have proper medical gas storage and administration areas. Fire Safety 2024-12-18 2025-01-13 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-05 2024-07-01 Y
Respond appropriately to all alleged violations. Health 2024-06-05 2024-07-01 Y
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-09-11 2023-10-31 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-09-13 2023-10-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-13 2023-10-06 N
Provide and implement an infection prevention and control program. Health 2023-09-13 2023-10-06 N
Establish policies and procedures including evacuation. Fire Safety 2023-09-11 2023-10-06 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2023-09-11 2023-10-05 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-09-11 2023-10-05 N
Address patient/client population and determine types of services needed. Fire Safety 2023-09-11 2023-10-05 N
Establish policies and procedures for medical documentation. Fire Safety 2023-09-11 2023-10-05 N
Establish policies and procedures for volunteers. Fire Safety 2023-09-11 2023-10-05 N
Establish methods for sharing information. Fire Safety 2023-09-11 2023-10-05 N
Conduct testing and exercise requirements. Fire Safety 2023-09-11 2023-10-05 N
Provide a written emergency evacuation plan. Fire Safety 2023-09-11 2023-10-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-09-11 2023-10-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-09-11 2023-10-05 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-09-13 2023-10-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-13 2023-10-02 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 2023-09-13 2023-09-29 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2023-09-11 2023-09-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-05 2022-12-31 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-10-05 2022-12-31 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-10-05 2022-12-31 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-05 2022-10-31 N
Respond appropriately to all alleged violations. Health 2022-10-05 2022-10-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-05 2022-10-31 N
Give the resident's representative the ability to exercise the resident's rights. Health 2022-10-05 2022-10-28 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-10-05 2022-10-28 N
Establish emergency prep training and testing. Fire Safety 2022-10-06 2022-10-28 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-06 2022-10-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-06 2022-10-28 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 2022-10-06 2022-10-07 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-10-06 2022-10-07 N

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