Deficiency Records for Pocahontas Manor
Updated as of June 01, 2019
This is not the most recent data for Pocahontas Manor. For the most recent information, click here.
A list of the most recent deficiencies for Pocahontas 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? |
|---|---|---|---|---|
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-11 | 2018-11-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-11 | 2018-11-10 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-10-11 | 2018-11-10 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-10-11 | 2018-11-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-10-11 | 2018-11-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-11 | 2018-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-11 | 2018-11-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-11 | 2018-11-10 | 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 ne | Health | 2018-10-11 | 2018-11-10 | N |
| 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 | 2018-10-11 | 2018-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-11-10 | 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 | 2018-10-11 | 2018-11-10 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-22 | 2017-08-04 | N |
| Use approved construction type or materials. | Fire Safety | 2017-06-22 | 2017-07-22 | 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 | 2017-06-22 | 2017-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-22 | 2017-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-22 | 2017-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-22 | 2017-07-22 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2017-06-22 | 2017-07-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-22 | 2017-07-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-06-22 | 2017-07-22 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2017-06-22 | 2017-07-22 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-06-22 | 2017-07-12 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-22 | 2017-07-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-22 | 2017-07-12 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-22 | 2017-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-22 | 2017-07-12 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-05-31 | 2016-06-30 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2016-05-25 | 2016-06-24 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-05-25 | 2016-06-24 | N |
| Provide housekeeping and maintenance services. | Health | 2016-05-25 | 2016-06-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-25 | 2016-06-24 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-05-25 | 2016-06-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-25 | 2016-06-24 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-05-31 | 2016-06-08 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-31 | 2016-06-07 | N |
| Approved construction type or materials. | Fire Safety | 2016-05-31 | 2016-06-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-05-31 | 2016-06-06 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-31 | 2016-06-06 | N |
| Portable fire extinguishers. | Fire Safety | 2016-05-31 | 2016-06-06 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-05-31 | 2016-06-01 | N |
