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Deficiency Records for Mcrae Manor Nursing Home

View the most recent health deficiencies and inspection results for Mcrae Manor Nursing Home. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Mcrae Manor Nursing Home. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-12-04 2026-03-02 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2025-12-04 2026-01-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-12-04 2026-01-30 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2025-12-04 2026-01-30 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 2025-12-04 2026-01-30 N
Dispose of garbage and refuse properly. Health 2025-12-04 2026-01-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-12-04 2026-01-30 N
Have an enclosure around a vertical opening shaft. Fire Safety 2025-12-04 2026-01-18 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 2025-12-04 2026-01-18 N
Meet requirements for the use of electrical equipment. Fire Safety 2025-12-04 2026-01-18 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-12-04 2026-01-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-12 2024-08-21 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-07-12 2024-08-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-12 2024-08-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-12 2024-08-21 N
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 2024-07-12 2024-08-21 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-07-12 2024-08-21 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-07-12 2024-08-21 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 2024-07-12 2024-08-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-12 2024-08-21 N
Provide and implement an infection prevention and control program. Health 2024-07-12 2024-08-21 N
Meet Health Care Facilities Code mechanical requirements. Fire Safety 2024-07-12 2024-08-21 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-07-12 2024-08-21 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-12 2024-08-21 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-07-12 2024-08-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-12 2024-08-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-12 2024-08-21 N
Install an approved automatic sprinkler system. Fire Safety 2024-07-12 2024-08-21 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-07-12 2024-08-21 N
Provide properly protected cooking facilities. Fire Safety 2024-07-12 2024-08-21 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-07-12 2024-08-21 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 2024-07-12 2024-08-21 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-11-10 2022-12-25 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 2022-11-10 2022-12-25 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-11-10 2022-12-25 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-11-10 2022-12-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-11-10 2022-12-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-11-10 2022-12-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-10 2022-12-25 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-11-10 2022-12-25 N
Have exits that are accessible at all times. Fire Safety 2022-11-10 2022-12-25 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2022-11-10 2022-12-25 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-11-10 2022-12-25 N

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