Deficiency Records for Harbour Manor Health and Living Community
Updated as of April 01, 2024
A list of the most recent deficiencies for Harbour Manor Health and Living Community. 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? |
|---|---|---|---|---|
| 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 | 2023-11-13 | 2023-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-13 | 2023-11-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-13 | 2023-11-27 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-30 | 2023-11-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-30 | 2023-11-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-10-30 | 2023-11-10 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-10-26 | 2022-11-16 | Y |
| Develop a communication plan. | Fire Safety | 2022-09-01 | 2022-09-09 | 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 | 2022-09-01 | 2022-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-01 | 2022-09-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-01 | 2022-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-01 | 2022-09-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-01 | 2022-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-01 | 2022-09-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-01 | 2022-09-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-16 | 2022-09-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-08-16 | 2022-09-02 | 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 | 2022-08-16 | 2022-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-16 | 2022-09-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-09 | 2022-03-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-07 | 2022-01-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-01 | 2021-12-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-10 | 2021-10-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-10-01 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-21 | 2021-08-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-21 | 2021-08-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-21 | 2021-08-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-21 | 2021-07-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-06-21 | 2021-07-09 | N |
| Develop a communication plan. | Fire Safety | 2021-06-21 | 2021-07-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-06-21 | 2021-07-09 | N |
| Meet other general requirements. | Fire Safety | 2021-06-21 | 2021-07-09 | 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 | 2021-06-21 | 2021-07-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-21 | 2021-07-09 | 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 | 2021-06-21 | 2021-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-21 | 2021-07-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-21 | 2021-07-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-06-21 | 2021-07-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-21 | 2021-07-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-21 | 2021-07-09 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-06-21 | 2021-07-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-05-21 | 2021-06-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-05-21 | 2021-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-21 | 2021-06-11 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-21 | 2021-06-11 | 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 | 2021-05-21 | 2021-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-21 | 2021-06-11 | N |
