A list of the most recent deficiencies for Indigo 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? |
|---|---|---|---|---|
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-10-03 | 2023-11-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-03 | 2023-11-03 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-13 | 2023-07-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-13 | 2023-05-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-13 | 2023-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-13 | 2023-05-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-13 | 2023-05-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-13 | 2023-05-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-13 | 2023-05-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-13 | 2023-05-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-13 | 2023-05-26 | 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 | 2023-04-13 | 2023-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-13 | 2023-05-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-13 | 2023-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-13 | 2023-05-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-13 | 2023-05-26 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-13 | 2023-05-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-13 | 2023-04-13 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-09-06 | 2022-09-30 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-19 | 2022-05-20 | 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 | 2021-12-29 | 2022-01-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-29 | 2022-01-28 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-07-09 | 2021-08-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-07-09 | 2021-08-08 | 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 | 2021-07-09 | 2021-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-09 | 2021-08-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-09 | 2021-08-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-24 | 2019-08-23 | N |
