A list of the most recent deficiencies for Miller's Merry 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-03-16 | 2023-05-08 | 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 | 2023-03-16 | 2023-05-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-16 | 2023-05-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-16 | 2023-05-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-16 | 2023-05-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-16 | 2023-05-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-16 | 2023-05-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-16 | 2023-05-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-16 | 2023-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-16 | 2023-05-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-16 | 2023-05-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-24 | 2023-03-17 | 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 | 2023-02-24 | 2023-03-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-24 | 2023-03-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-09 | 2021-07-23 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-28 | 2020-03-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-28 | 2020-03-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-28 | 2020-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-28 | 2020-03-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-25 | 2019-12-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-25 | 2019-12-26 | 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 | 2019-01-08 | 2019-01-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-08 | 2019-01-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-08 | 2019-01-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-12-05 | 2019-01-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-12-05 | 2019-01-03 | N |
