A list of the most recent deficiencies for Catered Manor Nursing 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 implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-30 | 2023-12-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-30 | 2023-12-29 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-08-06 | 2023-08-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-06 | 2023-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-02 | 2023-08-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-02 | 2023-03-06 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-01-10 | 2023-02-09 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-01-10 | 2023-02-09 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-26 | 2023-01-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-08 | 2022-10-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-26 | 2022-09-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-26 | 2022-09-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-31 | 2022-09-12 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-05-16 | 2022-06-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-26 | 2021-11-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-10-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-30 | 2021-10-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-12 | 2021-05-25 | 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 | 2021-04-12 | 2021-05-25 | 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 | 2021-04-12 | 2021-05-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-04-12 | 2021-05-25 | 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 | 2021-04-12 | 2021-05-25 | N |
| Post nurse staffing information every day. | Health | 2021-04-12 | 2021-05-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-12 | 2021-05-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-12 | 2021-05-25 | 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 | 2021-04-12 | 2021-05-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-04-12 | 2021-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-12 | 2021-05-25 | N |
| Keep all essential equipment working safely. | Health | 2021-04-12 | 2021-05-25 | 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 | 2021-04-12 | 2021-05-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-12 | 2021-05-06 | 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 | 2019-05-24 | 2019-07-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-05-24 | 2019-07-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-07-16 | 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 | 2019-05-24 | 2019-07-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-24 | 2019-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-24 | 2019-07-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-24 | 2019-07-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-05-24 | 2019-07-16 | 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 | 2019-05-24 | 2019-07-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-24 | 2019-07-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-24 | 2019-07-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-07-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-05-24 | 2019-06-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-11 | 2018-06-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-11 | 2018-06-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-11 | 2018-06-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-11 | 2018-06-22 | N |
| Post nurse staffing information every day. | Health | 2018-05-11 | 2018-06-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-11 | 2018-06-22 | 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 | 2018-05-11 | 2018-06-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-11 | 2018-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-11 | 2018-06-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-05-11 | 2018-06-22 | N |
| Keep all essential equipment working safely. | Health | 2018-05-11 | 2018-06-22 | N |
