A list of the most recent deficiencies for Manor Court of Peoria. 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? |
|---|---|---|---|---|
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-10-08 | 2023-11-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-08 | 2023-10-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-08 | 2023-10-30 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-19 | 2023-06-11 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-19 | 2023-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-06-11 | 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 | 2023-05-19 | 2023-06-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-19 | 2023-06-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-19 | 2023-06-11 | 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 | 2023-05-19 | 2023-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-06-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-19 | 2023-06-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-19 | 2023-06-11 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-05-19 | 2023-06-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-24 | 2023-06-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-24 | 2023-06-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-24 | 2023-06-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-24 | 2023-06-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-24 | 2023-06-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-24 | 2023-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-23 | 2023-02-13 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-22 | 2022-07-14 | 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 | 2022-06-16 | 2022-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-06 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-06-16 | 2022-07-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-16 | 2022-07-05 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-06-16 | 2022-07-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-16 | 2022-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-16 | 2022-07-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-16 | 2022-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-07-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-06-16 | 2022-07-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-16 | 2022-07-01 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-06-16 | 2022-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-16 | 2022-07-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-06-16 | 2022-07-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-06-16 | 2022-07-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-06-16 | 2022-07-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-06-16 | 2022-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-06 | 2022-05-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-27 | 2022-05-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-25 | 2021-06-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-25 | 2021-06-30 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-05 | 2021-06-22 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-05-05 | 2021-06-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-05 | 2021-06-22 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-05 | 2021-05-06 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-05-05 | 2021-05-06 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-05-05 | 2021-05-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-05-05 | 2021-05-06 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-05-05 | 2021-05-06 | N |
| Establish methods for sharing information. | Fire Safety | 2021-05-05 | 2021-05-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-05-05 | 2021-05-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-05 | 2021-05-06 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2021-04-02 | 2021-05-04 | N |
| Post nurse staffing information every day. | Health | 2021-04-02 | 2021-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-17 | 2021-03-18 | Y |
