A list of the most recent deficiencies for Monsignor Bojnowski 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? |
|---|---|---|---|---|
| Establish policies and procedures including evacuation. | Fire Safety | 2023-01-19 | 2023-03-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-01-19 | 2023-03-22 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-01-19 | 2023-03-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-19 | 2023-03-22 | 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 | 2023-01-19 | 2023-03-22 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2023-01-19 | 2023-03-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-19 | 2023-03-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-19 | 2023-03-22 | 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 | 2023-01-24 | 2023-02-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-24 | 2023-02-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-24 | 2023-02-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-24 | 2023-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-24 | 2023-02-17 | 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 | 2023-01-24 | 2023-02-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-24 | 2023-02-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-24 | 2023-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-24 | 2023-02-17 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-24 | 2023-02-17 | 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 | 2023-01-24 | 2023-02-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-01-24 | 2023-02-17 | 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 | 2023-01-24 | 2023-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-24 | 2023-02-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-24 | 2023-02-17 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2020-03-05 | 2020-05-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-03-05 | 2020-05-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-05 | 2020-05-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-05 | 2020-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-24 | 2019-06-05 | N |
