A list of the most recent deficiencies for Mcrae Manor Nursing Home. 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? |
|---|---|---|---|---|
| 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 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-11-08 | 2022-12-25 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-10 | 2019-11-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-10-10 | 2019-11-24 | 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 | 2019-10-10 | 2019-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-21 | 2018-08-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-21 | 2018-08-05 | 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 | 2018-06-21 | 2018-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-21 | 2018-08-05 | 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 | 2018-06-21 | 2018-08-05 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-06-21 | 2018-08-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-21 | 2018-08-05 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-06-21 | 2018-08-05 | N |
