A list of the most recent deficiencies for Handmaker Home For The Aging. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-28 | 2023-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-28 | 2023-12-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-28 | 2023-12-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-28 | 2023-12-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-09-28 | 2023-10-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-28 | 2023-10-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-28 | 2023-10-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-28 | 2023-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-10-19 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-08-18 | 2022-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-18 | 2022-10-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-18 | 2022-10-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-18 | 2022-10-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-18 | 2022-10-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-18 | 2022-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-10-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-18 | 2022-10-15 | 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 | 2022-08-18 | 2022-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-18 | 2022-10-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-18 | 2022-10-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-18 | 2022-10-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-15 | 2022-08-10 | Y |
| Assess the resident when there is a significant change in condition | Health | 2020-10-09 | 2020-12-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-10-09 | 2020-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-09 | 2020-12-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-10-09 | 2020-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-09 | 2020-12-18 | 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 | 2020-10-09 | 2020-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-09 | 2020-12-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-09 | 2020-12-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-10-09 | 2020-12-18 | 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 | 2020-10-09 | 2020-12-18 | 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 | 2020-10-09 | 2020-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-09 | 2020-12-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-10-09 | 2020-12-18 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-10-09 | 2020-12-18 | N |
| Keep all essential equipment working safely. | Health | 2020-10-09 | 2020-12-18 | 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 | 2020-10-09 | 2020-12-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-09 | 2020-12-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-10-09 | 2020-12-03 | N |
