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Deficiency Records for Pilgrim Manor
View the most recent health deficiencies and inspection results for Pilgrim Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pilgrim Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-02-13 | 2026-03-19 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-02-13 | 2026-03-19 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2026-02-13 | 2026-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-13 | 2026-03-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-02-13 | 2026-03-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2026-02-13 | 2026-03-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-13 | 2026-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-13 | 2026-03-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-02-13 | 2026-03-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-02-13 | 2026-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-13 | 2026-03-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-02-13 | 2026-03-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-13 | 2026-03-16 | N |
| Keep all essential equipment working safely. | Health | 2026-02-13 | 2026-03-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-02-13 | 2026-03-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-13 | 2026-03-13 | 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 | 2026-02-13 | 2026-03-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2026-02-13 | 2026-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-13 | 2026-03-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-13 | 2026-03-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-27 | 2025-01-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-27 | 2025-01-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-27 | 2025-01-09 | 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 | 2024-11-27 | 2025-01-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-27 | 2025-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-27 | 2024-12-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-27 | 2024-12-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-11-27 | 2024-12-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-27 | 2024-12-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-27 | 2024-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-27 | 2024-12-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-27 | 2024-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-27 | 2024-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-27 | 2024-12-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-08-28 | 2024-09-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-28 | 2024-09-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-28 | 2024-09-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-28 | 2024-09-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-28 | 2024-09-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-22 | 2024-02-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-01-22 | 2024-02-12 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-22 | 2024-02-12 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-22 | 2024-01-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-22 | 2024-01-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-22 | 2024-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-22 | 2024-01-15 | N |