Deficiency Records for Thornton Manor Nursing and Care Center
Updated as of November 01, 2022
This is not the most recent data for Thornton Manor Nursing and Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Thornton Manor Nursing and 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? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-11-01 | 2021-11-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-11-01 | 2021-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-01 | 2021-11-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-01 | 2021-11-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-11-01 | 2021-11-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-11-01 | 2021-11-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-11-01 | 2021-11-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-11-01 | 2021-11-11 | 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 | 2021-11-01 | 2021-11-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-28 | 2019-09-25 | 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 | 2019-08-22 | 2019-09-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-22 | 2019-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-28 | 2019-09-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-08-28 | 2019-08-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-29 | 2018-06-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-05-29 | 2018-06-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-05-29 | 2018-06-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-29 | 2018-06-05 | N |
