Deficiency Records for Carrollton Manor, Incorporated
Updated as of November 01, 2020
This is not the most recent data for Carrollton Manor, Incorporated. For the most recent information, click here.
A list of the most recent deficiencies for Carrollton Manor, Incorporated. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2020-03-03 | 2020-04-19 | 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 | 2020-03-03 | 2020-04-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-03-03 | 2020-04-19 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-03-03 | 2020-04-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-03 | 2020-04-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-11 | 2018-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-13 | 2018-10-28 | 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 | 2018-09-13 | 2018-10-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-13 | 2018-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-13 | 2018-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-13 | 2018-10-28 | 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 | 2018-09-13 | 2018-10-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-13 | 2018-10-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-09-13 | 2018-10-28 | 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 | 2018-09-13 | 2018-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-10-28 | 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 | 2017-11-02 | 2017-12-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-12 | 2017-04-10 | N |
| Give notice to the resident before a room or roommate change. | Health | 2017-01-12 | 2017-02-26 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-01-12 | 2017-02-26 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-01-12 | 2017-02-26 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-01-12 | 2017-02-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-01-12 | 2017-02-26 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-12 | 2017-02-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-12 | 2017-02-26 | N |
| Keep all essential equipment working safely. | Health | 2017-01-12 | 2017-02-26 | N |
