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Deficiency Records for Mansfield Nursing and Rehabilitation Center
A list of the most recent deficiencies for Mansfield Nursing and Rehabilitation Center. 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 Mansfield Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-24 | 2024-05-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-24 | 2024-05-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-24 | 2024-05-16 | 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 | 2024-04-24 | 2024-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-24 | 2024-05-16 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-04-25 | 2024-05-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-25 | 2024-05-15 | 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 | 2024-04-25 | 2024-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-25 | 2024-05-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-25 | 2024-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-25 | 2024-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-25 | 2024-05-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-25 | 2024-05-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-25 | 2024-05-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-24 | 2024-05-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-24 | 2024-04-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-24 | 2024-04-24 | 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 | 2024-03-05 | 2024-03-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-05 | 2024-03-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-11 | 2024-02-05 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-01-11 | 2024-02-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-31 | 2023-09-28 | Y |
| 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 | 2023-08-16 | 2023-09-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-16 | 2023-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-09-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-14 | 2023-07-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-17 | 2023-06-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-17 | 2023-06-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-17 | 2023-06-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-17 | 2023-06-19 | Y |
| Provide appropriate foot care. | Health | 2023-04-18 | 2023-05-18 | Y |
| 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 | 2023-02-23 | 2023-04-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-23 | 2023-03-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-23 | 2023-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-23 | 2023-03-23 | 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 | 2023-02-23 | 2023-02-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-23 | 2023-02-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-23 | 2023-02-24 | 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 | 2023-02-23 | 2023-02-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-23 | 2023-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-23 | 2023-02-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-23 | 2023-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-23 | 2023-02-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-02 | 2023-01-03 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-11-08 | 2022-12-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-08 | 2022-12-09 | 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 | 2022-12-06 | 2022-12-07 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-11-08 | 2022-11-30 | Y |
| 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 | 2022-11-08 | 2022-11-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-08 | 2022-11-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-30 | 2022-09-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-30 | 2022-09-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-26 | 2022-07-27 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-26 | 2022-07-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-09 | 2022-06-06 | Y |
| 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 | 2022-04-05 | 2022-05-05 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-16 | 2021-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-16 | 2021-12-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-16 | 2021-12-16 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-11-16 | 2021-12-16 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-11-16 | 2021-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-16 | 2021-12-02 | N |
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