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? |
|---|---|---|---|---|
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-03-13 | 2023-04-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-13 | 2023-04-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-13 | 2023-04-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-13 | 2023-04-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-22 | 2023-03-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-02-22 | 2023-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-22 | 2023-03-20 | 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 | 2023-02-22 | 2023-03-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-02-22 | 2023-03-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-22 | 2023-03-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-28 | 2022-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-30 | 2021-12-13 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-10-25 | 2021-11-12 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-13 | 2020-03-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-13 | 2020-03-10 | N |
| Have an externally vented heating system. | Fire Safety | 2020-02-13 | 2020-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-13 | 2020-03-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-14 | 2020-02-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-14 | 2020-02-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-14 | 2020-02-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-01-14 | 2020-02-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-14 | 2020-02-07 | 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 | 2020-01-14 | 2020-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-14 | 2020-02-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-14 | 2020-02-07 | 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 | 2020-01-14 | 2020-02-07 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-01-14 | 2020-02-07 | N |
| Post nurse staffing information every day. | Health | 2020-01-14 | 2020-02-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-01-14 | 2020-02-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-01-14 | 2020-02-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-14 | 2020-02-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-01-14 | 2020-02-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-10-10 | 2018-11-13 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-10-10 | 2018-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-10 | 2018-11-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-12 | 2018-11-07 | 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 | 2018-10-12 | 2018-11-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-12 | 2018-11-07 | 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 | 2018-10-12 | 2018-11-07 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-12 | 2018-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-12 | 2018-11-07 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-10-12 | 2018-11-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-10-12 | 2018-11-07 | 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 | 2018-10-12 | 2018-11-07 | N |
