A list of the most recent deficiencies for Coastal 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-09 | 2023-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-10 | 2023-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-10 | 2023-04-30 | 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 | 2023-03-10 | 2023-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-04-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-10 | 2023-04-30 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-03-10 | 2023-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-10 | 2023-04-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-04-30 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-09 | 2023-04-30 | 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 | 2023-03-09 | 2023-04-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-09 | 2023-04-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-09 | 2023-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-09 | 2023-04-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-09 | 2023-04-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-09 | 2022-07-24 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-08-30 | 2018-10-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-30 | 2018-10-14 | 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 | 2018-08-30 | 2018-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-30 | 2018-10-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-30 | 2018-10-14 | 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 | 2018-08-30 | 2018-10-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-27 | 2018-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-27 | 2018-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-27 | 2018-10-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-27 | 2018-10-14 | N |
