A list of the most recent deficiencies for Lord Chamberlain 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-03 | 2022-09-30 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-07 | 2022-09-16 | 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 | 2022-07-08 | 2022-08-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-08 | 2022-08-17 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-08 | 2022-08-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-08 | 2022-08-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-08 | 2022-08-17 | 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 | 2022-07-08 | 2022-08-17 | 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 | 2022-07-08 | 2022-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-08 | 2022-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-08 | 2022-08-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-07-08 | 2022-08-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-07 | 2022-08-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-07 | 2022-08-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-07 | 2022-08-08 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-07-07 | 2022-08-08 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-11-27 | 2020-01-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-11-27 | 2020-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-27 | 2020-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-21 | 2019-12-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-11-21 | 2019-12-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-10-18 | 2018-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-18 | 2018-11-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-10-15 | 2018-11-26 | N |
