Deficiency Records for Ingraham Manor
Updated as of June 01, 2023
This is not the most recent data for Ingraham Manor. For the most recent information, click here.
A list of the most recent deficiencies for Ingraham Manor. 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 | 2021-08-23 | 2021-10-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-23 | 2021-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-23 | 2021-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-23 | 2021-10-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-19 | 2021-10-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-19 | 2021-10-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-26 | 2019-06-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-26 | 2019-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-23 | 2019-05-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-23 | 2019-05-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-20 | 2018-05-18 | 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 | 2018-03-20 | 2018-05-18 | N |
| Provide activities to meet all resident's needs. | Health | 2018-03-20 | 2018-05-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-20 | 2018-05-18 | 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 | 2018-03-20 | 2018-05-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-20 | 2018-05-18 | 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 | 2018-03-20 | 2018-05-18 | 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 | 2018-03-20 | 2018-05-18 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-03-20 | 2018-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-20 | 2018-05-18 | 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 | 2018-03-14 | 2018-05-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-03-14 | 2018-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-14 | 2018-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-14 | 2018-05-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-03-14 | 2018-05-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-03-14 | 2018-05-03 | N |
