Deficiency Records for Wrightsville Manor Health and Rehab
Updated as of November 01, 2019
This is not the most recent data for Wrightsville Manor Health and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Wrightsville Manor Health and Rehab. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Be properly staffed | Fire Safety | 2019-03-07 | 2019-04-21 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-03-07 | 2019-04-21 | 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 | 2019-03-07 | 2019-04-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-07 | 2019-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-04-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-03-01 | 2018-04-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-03-01 | 2018-04-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-03-01 | 2018-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-01 | 2018-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-03-01 | 2018-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-01 | 2018-04-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-03-01 | 2018-04-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-01 | 2018-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-01 | 2018-04-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-06-27 | 2017-08-13 | N |
