Deficiency Records for Fredericka Manor Care Center
Updated as of July 01, 2018
This is not the most recent data for Fredericka Manor Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Fredericka Manor Care 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-09-08 | 2017-10-18 | N |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2017-09-08 | 2017-10-18 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-09-08 | 2017-10-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-08 | 2017-10-18 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-08 | 2017-10-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-08 | 2017-10-18 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-08 | 2017-10-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-08 | 2017-10-18 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-09-08 | 2017-10-18 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-09-08 | 2017-10-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-08 | 2017-10-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-09-08 | 2017-10-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-08 | 2017-10-18 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-08 | 2017-10-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-08 | 2017-10-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-09-26 | 2017-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-26 | 2017-10-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-09 | 2017-03-17 | Y |
| Provide residents with private access to a telephone. | Health | 2016-08-04 | 2016-08-31 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-08-04 | 2016-08-31 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-05-19 | 2016-06-13 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-05-19 | 2016-06-13 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-05-19 | 2016-06-13 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-19 | 2016-06-13 | N |
| Properly constructed piped-in oxygen systems. | Fire Safety | 2016-05-19 | 2016-06-13 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-19 | 2016-06-13 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-19 | 2016-06-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-05-12 | 2016-06-12 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-12 | 2016-06-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-12 | 2016-06-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-12 | 2016-06-12 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-05-12 | 2016-06-12 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-05-12 | 2016-06-12 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-05-12 | 2016-06-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-12 | 2016-06-12 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-05-12 | 2016-06-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-12 | 2016-06-12 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-12 | 2016-06-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-12 | 2016-06-12 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-12 | 2016-06-12 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-05-12 | 2016-06-12 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-05 | 2016-01-13 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-04-22 | 2015-06-05 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-04-22 | 2015-06-05 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-04-22 | 2015-06-05 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-04-22 | 2015-06-05 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-04-22 | 2015-06-05 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-04-22 | 2015-06-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-04-22 | 2015-06-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-04-17 | 2015-05-14 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-04-17 | 2015-05-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-04-17 | 2015-05-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-04-17 | 2015-05-14 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-04-17 | 2015-05-14 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-04-17 | 2015-05-14 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-04-17 | 2015-05-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-04-17 | 2015-05-14 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-04-17 | 2015-05-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-04-17 | 2015-05-14 | N |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2015-04-17 | 2015-05-14 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2015-04-17 | 2015-05-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-04-17 | 2015-05-14 | N |
