A list of the most recent deficiencies for Gallatin 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? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-08 | 2023-09-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-08 | 2023-09-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-08 | 2023-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-08 | 2023-08-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-08 | 2023-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-08 | 2023-08-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-11 | 2023-08-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-11 | 2023-08-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-11 | 2023-08-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-08-11 | 2023-08-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-11 | 2023-08-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-11 | 2023-08-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-08 | 2023-08-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-08 | 2023-08-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-08 | 2023-08-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-08 | 2023-08-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-03-31 | 2023-03-31 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-03-31 | 2023-03-24 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-15 | 2022-08-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-15 | 2022-08-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-15 | 2022-08-07 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-15 | 2022-08-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-15 | 2022-08-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-15 | 2022-08-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-15 | 2022-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-15 | 2022-08-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-16 | 2021-11-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-09-23 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-09 | 2021-09-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-10 | 2021-06-11 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-04-16 | 2021-05-14 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-04-16 | 2021-05-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-04-16 | 2021-05-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-04-16 | 2021-05-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-16 | 2021-05-14 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-04-16 | 2021-05-14 | N |
| Post nurse staffing information every day. | Health | 2021-04-16 | 2021-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-14 | 2021-04-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-14 | 2021-04-15 | N |
