A list of the most recent deficiencies for Manderley Health Care Center. 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? |
|---|---|---|---|---|
| Meet other general requirements that are deficient. | Fire Safety | 2023-02-08 | 2023-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-08 | 2023-03-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-08 | 2023-03-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-08 | 2023-03-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-08 | 2023-03-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-08 | 2023-03-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-08 | 2023-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-08 | 2023-03-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-27 | 2023-02-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-27 | 2023-02-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-27 | 2023-02-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-27 | 2023-02-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-27 | 2023-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-27 | 2023-02-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-12-28 | 2022-01-21 | 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 | 2021-12-28 | 2022-01-21 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-28 | 2022-01-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-06 | 2021-12-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-06 | 2021-12-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-06 | 2021-12-23 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-12-06 | 2021-12-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-06 | 2021-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-06 | 2021-12-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-17 | 2020-03-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-02-17 | 2020-03-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-17 | 2020-03-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-17 | 2020-03-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-17 | 2020-03-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-17 | 2020-03-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-05 | 2020-03-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-05 | 2020-03-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-05 | 2020-03-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-05 | 2020-03-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-05 | 2020-03-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-02-05 | 2020-03-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-05 | 2020-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-05 | 2020-03-05 | N |
