A list of the most recent deficiencies for Manor Court of Carbondale. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-22 | 2023-12-06 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-18 | 2023-05-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-18 | 2023-04-20 | 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 | 2023-04-18 | 2023-04-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-18 | 2023-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-18 | 2023-04-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-18 | 2023-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-04-14 | 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 | 2023-04-13 | 2023-04-14 | N |
| 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 | 2023-04-13 | 2023-04-14 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-04-13 | 2023-04-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-30 | 2023-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-23 | 2022-12-02 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-02 | 2022-09-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-23 | 2022-06-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-23 | 2022-06-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-04 | 2022-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-28 | 2022-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-04 | 2022-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-04 | 2022-05-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-04 | 2022-05-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-04 | 2022-05-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-04 | 2022-05-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-04 | 2022-05-12 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-04-28 | 2022-05-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-28 | 2022-05-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-28 | 2022-05-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-09 | 2022-03-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-09 | 2022-03-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-09 | 2022-03-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-18 | 2022-02-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-18 | 2022-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-17 | 2021-09-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-03-03 | 2021-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-03 | 2021-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-03 | 2021-03-31 | 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 | 2021-03-05 | 2021-03-26 | 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 | 2021-03-05 | 2021-03-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-05 | 2021-03-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-05 | 2021-03-26 | 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 | 2021-03-05 | 2021-03-26 | N |
| Provide or obtain dental services for each resident. | Health | 2021-03-05 | 2021-03-26 | N |
