Deficiency Records for Monsignor Bojnowski Manor

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Updated as of May 01, 2024

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Deficiency Records for Monsignor Bojnowski Manor

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.

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

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