Deficiency Records for Fredericka Manor Care Center
Updated as of February 01, 2020
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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-23 | 2020-01-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-23 | 2019-11-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-08 | 2019-10-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-02 | 2019-10-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-16 | 2019-04-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-16 | 2019-04-30 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-12-13 | 2019-01-03 | N |
| Develop a communication plan. | Fire Safety | 2018-12-13 | 2019-01-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-12-13 | 2019-01-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-14 | 2018-12-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-04 | 2018-11-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-04 | 2018-11-04 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-10-04 | 2018-11-04 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-04 | 2018-11-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-04 | 2018-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-04 | 2018-11-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-04 | 2018-11-04 | 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 | 2018-10-04 | 2018-11-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-04 | 2018-11-04 | 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 | 2018-10-04 | 2018-11-04 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-10-04 | 2018-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-11-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-04 | 2018-11-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-06 | 2018-07-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-06 | 2018-07-02 | Y |
| 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 |
| 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 |
