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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2023-05-30 | 2023-06-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-05-30 | 2023-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-30 | 2023-06-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-30 | 2023-06-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-19 | 2023-06-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-05-19 | 2023-06-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-19 | 2023-06-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-19 | 2023-06-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-05-19 | 2023-06-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-19 | 2023-06-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-19 | 2023-06-05 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-05-19 | 2023-06-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-19 | 2023-06-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-19 | 2023-06-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-18 | 2022-10-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-05 | 2022-10-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-05 | 2022-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-24 | 2022-02-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-02-02 | 2022-02-02 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-10-14 | 2021-11-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-14 | 2021-11-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-14 | 2021-11-05 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-10-14 | 2021-11-05 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-10 | 2021-09-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-10 | 2021-09-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-08-10 | 2021-09-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-10 | 2021-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-10 | 2021-09-09 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-08-10 | 2021-09-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-10 | 2021-09-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-10 | 2021-09-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-23 | 2021-08-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-07-23 | 2021-08-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-23 | 2021-08-20 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-07-23 | 2021-08-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-23 | 2021-08-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-23 | 2021-08-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-23 | 2021-08-20 | N |
| Provide or obtain dental services for each resident. | Health | 2021-07-23 | 2021-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-23 | 2021-08-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-23 | 2021-08-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-05 | 2020-03-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-06 | 2020-01-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-06 | 2020-01-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-06 | 2020-01-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-06 | 2020-01-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-06 | 2020-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-06 | 2020-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-06 | 2020-01-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-06 | 2020-01-07 | 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 | 2019-12-06 | 2020-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-06 | 2020-01-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-06 | 2020-01-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-06 | 2020-01-07 | N |
