Deficiency Records for Mitchell Manor
Updated as of June 01, 2018
This is not the most recent data for Mitchell Manor. For the most recent information, click here.
A list of the most recent deficiencies for Mitchell 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Develop a communication plan. | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-12-11 | 2018-01-10 | 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 | 2017-12-11 | 2018-01-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-11 | 2018-01-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-03 | 2017-11-22 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-11-03 | 2017-11-22 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-03 | 2017-11-22 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-11-03 | 2017-11-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-12-01 | 2016-12-31 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2016-12-01 | 2016-12-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-12-01 | 2016-12-31 | 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 | 2016-12-01 | 2016-12-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-12-01 | 2016-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-01 | 2016-12-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2016-12-01 | 2016-12-31 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-02 | 2016-11-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-11-02 | 2016-11-18 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-09-11 | 2015-10-09 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-11 | 2015-10-09 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-09-11 | 2015-10-09 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-09-11 | 2015-10-09 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-09-11 | 2015-10-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-11 | 2015-10-09 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2015-09-11 | 2015-10-09 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-09-04 | 2015-09-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-09-04 | 2015-09-28 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-09-04 | 2015-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-04 | 2015-09-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-09-04 | 2015-09-28 | N |
