A list of the most recent deficiencies for Manning Gardens Care Center, Inc. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-20 | 2023-12-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-20 | 2023-12-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-20 | 2023-12-03 | 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 | 2023-10-20 | 2023-12-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-20 | 2023-12-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-20 | 2023-12-03 | 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 | 2023-10-20 | 2023-12-03 | 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 | 2023-10-20 | 2023-12-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-20 | 2023-12-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-20 | 2023-12-03 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2023-10-20 | 2023-12-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-10-20 | 2023-12-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-20 | 2023-12-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-20 | 2023-12-03 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-23 | 2023-10-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-23 | 2023-10-26 | 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 | 2023-10-23 | 2023-10-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-23 | 2023-10-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-23 | 2023-10-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-23 | 2023-10-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-23 | 2023-10-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-23 | 2023-10-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-10 | 2022-02-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-10 | 2022-02-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-10 | 2022-02-23 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-12-10 | 2022-02-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2022-02-23 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-12-10 | 2022-02-23 | 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 | 2021-12-10 | 2022-02-23 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-10 | 2022-02-23 | 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 | 2021-12-10 | 2022-02-23 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-12-10 | 2022-02-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-10 | 2022-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-10 | 2022-02-23 | Y |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2021-12-10 | 2022-02-23 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-12-10 | 2022-02-23 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-12-14 | 2022-01-11 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-12-14 | 2022-01-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-14 | 2022-01-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-14 | 2022-01-11 | 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 | 2021-12-14 | 2022-01-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-14 | 2022-01-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-14 | 2022-01-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-14 | 2022-01-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-14 | 2022-01-11 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-31 | 2019-12-31 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-10-31 | 2019-12-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-10-31 | 2019-12-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-31 | 2019-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-31 | 2019-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-12-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-31 | 2019-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-31 | 2019-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-31 | 2019-12-31 | 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 | 2019-10-10 | 2019-11-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-10 | 2019-11-19 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-10-10 | 2019-11-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-10 | 2019-11-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-10 | 2019-11-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-10 | 2019-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-10-10 | 2019-11-19 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-10-10 | 2019-11-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-10-10 | 2019-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-19 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-10-10 | 2019-11-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-10 | 2019-11-19 | N |
