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Deficiency Records for Lord Chamberlain Manor
View the most recent health deficiencies and inspection results for Lord Chamberlain Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lord Chamberlain Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-04-20 | 2026-06-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-09-23 | 2025-09-29 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-09-23 | 2025-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-23 | 2025-09-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-27 | 2025-09-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-11 | 2025-07-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-03 | 2025-05-15 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2025-01-23 | 2025-03-04 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-25 | 2025-02-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-25 | 2025-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-25 | 2024-12-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-25 | 2024-12-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-25 | 2024-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-25 | 2024-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-25 | 2024-12-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-10-25 | 2024-12-06 | 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 | 2024-10-25 | 2024-12-06 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-10-25 | 2024-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-25 | 2024-12-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-25 | 2024-12-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-25 | 2024-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-25 | 2024-12-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-10-25 | 2024-12-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-10-25 | 2024-12-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-25 | 2024-12-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-27 | 2024-05-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-27 | 2024-05-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-27 | 2024-05-08 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-08 | 2022-09-16 | N |
| Respond appropriately to all alleged violations. | 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 |
| Provide and implement an infection prevention and control program. | 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 |
| 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 |
| 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| 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 |
| 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 |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-08 | 2022-08-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-08 | 2022-08-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-08 | 2022-08-08 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-07-08 | 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 | 2019-11-27 | 2019-12-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-11-27 | 2019-12-12 | N |