A list of the most recent deficiencies for Manor Court of Clinton. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-03-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-12 | 2024-02-02 | 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 | 2024-01-12 | 2024-02-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-12 | 2024-01-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-12 | 2024-01-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-12 | 2024-01-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-12 | 2024-01-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-12 | 2024-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-01-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-12 | 2024-01-26 | Y |
| 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 | 2024-01-12 | 2024-01-26 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-01-12 | 2024-01-25 | 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 | 2024-01-12 | 2024-01-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-12 | 2024-01-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-01-17 | 2024-01-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-27 | 2023-11-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-27 | 2023-11-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-24 | 2023-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-19 | 2023-05-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-08 | 2023-02-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-02-08 | 2023-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-08 | 2023-02-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-02-08 | 2023-02-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-08 | 2023-02-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-10 | 2023-02-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-01-10 | 2023-02-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-21 | 2023-02-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-11-21 | 2023-02-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-21 | 2023-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-21 | 2023-02-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-10-19 | 2023-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-19 | 2023-02-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-09-26 | 2023-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-02 | 2023-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-10 | 2023-02-08 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-01-10 | 2023-02-08 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-21 | 2023-02-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-21 | 2023-02-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-03 | 2023-02-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-03 | 2023-02-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2023-02-08 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-26 | 2023-02-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-26 | 2023-02-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-02 | 2023-02-08 | 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 | 2022-12-02 | 2023-02-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-02 | 2023-02-08 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-12-14 | 2022-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-07 | 2022-09-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-26 | 2022-08-08 | Y |
| 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 | 2022-07-26 | 2022-08-08 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-07-06 | 2022-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-06 | 2022-07-20 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-06-24 | 2022-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-24 | 2022-07-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-24 | 2022-07-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-05 | 2022-05-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-15 | 2022-05-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-15 | 2022-05-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-01 | 2022-01-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-08 | 2021-11-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-10-26 | 2021-11-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-10-26 | 2021-11-16 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-10-26 | 2021-11-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-10-26 | 2021-11-16 | N |
| Establish methods for sharing information. | Fire Safety | 2021-10-26 | 2021-11-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-10-26 | 2021-11-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-26 | 2021-11-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-08 | 2021-10-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-08 | 2021-10-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-08 | 2021-10-31 | N |
| Respond appropriately to all alleged violations. | Health | 2021-10-08 | 2021-10-31 | 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 | 2021-10-08 | 2021-10-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-10-08 | 2021-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-08 | 2021-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-08 | 2021-10-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-08 | 2021-10-31 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-08 | 2021-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-01 | 2021-09-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-07 | 2021-06-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-07 | 2021-06-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-07 | 2021-06-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-07 | 2021-06-25 | Y |
