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Deficiency Records for Country Lane Manor
View the most recent health deficiencies and inspection results for Country Lane Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Country Lane Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-04-16 | 2026-05-09 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-08-12 | 2025-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-12 | 2025-09-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-08-12 | 2025-09-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-08-12 | 2025-09-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-08-12 | 2025-09-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-12 | 2025-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-12 | 2025-09-05 | 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 | 2025-08-12 | 2025-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-12 | 2025-09-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-12 | 2025-09-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-08-12 | 2025-09-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-12 | 2025-08-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-12 | 2025-08-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-12 | 2025-08-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-12 | 2025-08-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-08-12 | 2025-08-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-12 | 2025-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-12 | 2025-08-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-12 | 2025-08-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-12 | 2025-08-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-12 | 2025-08-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-14 | 2025-05-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-02-17 | 2025-03-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-13 | 2024-11-27 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-16 | 2024-10-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-16 | 2024-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-16 | 2024-10-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-16 | 2024-09-27 | 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 | 2024-09-16 | 2024-09-27 | 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 | 2024-09-16 | 2024-09-27 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-09-16 | 2024-09-27 | 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 | 2024-09-16 | 2024-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-16 | 2024-09-27 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-09-16 | 2024-09-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-16 | 2024-09-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-09-16 | 2024-09-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-16 | 2024-09-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-16 | 2024-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-16 | 2024-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-02 | 2024-06-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-02 | 2024-06-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-05-02 | 2024-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-02 | 2024-05-31 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-05-02 | 2024-05-29 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-05-02 | 2024-05-29 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-02 | 2024-05-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-02 | 2024-05-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-02 | 2024-05-29 | 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 | 2024-05-02 | 2024-05-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-02 | 2024-05-29 | 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 | 2024-05-02 | 2024-05-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-02 | 2024-05-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-05-02 | 2024-05-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-02 | 2024-05-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-02 | 2024-05-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-02 | 2024-05-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-02 | 2024-05-29 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-05-02 | 2024-05-29 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-05-02 | 2024-05-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-02 | 2024-05-29 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-05-02 | 2024-05-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-02 | 2024-05-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-02 | 2024-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-02 | 2024-05-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-02 | 2024-05-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-02 | 2024-05-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-02 | 2024-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-25 | 2024-04-12 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-25 | 2024-04-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-25 | 2024-04-12 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-11 | 2023-11-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-11 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-11 | 2023-11-10 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-10-11 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-02 | 2023-11-10 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-08-02 | 2023-08-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-02 | 2023-08-17 | Y |