A list of the most recent deficiencies for Parsons Presbyterian 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-02-08 | 2023-03-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-08 | 2023-03-21 | 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 | 2023-02-08 | 2023-03-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-08 | 2023-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-08 | 2023-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-08 | 2023-03-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-02-08 | 2023-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-08 | 2023-03-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-08 | 2023-03-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-20 | 2023-01-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-20 | 2023-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-20 | 2023-01-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-20 | 2023-01-06 | 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 | 2022-12-20 | 2023-01-06 | 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 | 2022-12-20 | 2023-01-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-12-20 | 2023-01-06 | 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 | 2022-12-20 | 2023-01-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-23 | 2021-09-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-07-23 | 2021-09-03 | 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 | 2021-07-23 | 2021-09-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-23 | 2021-09-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-23 | 2021-09-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-23 | 2021-09-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-23 | 2021-09-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-23 | 2021-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-23 | 2021-09-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-23 | 2021-09-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-23 | 2021-09-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-21 | 2021-07-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-21 | 2021-07-14 | 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 | 2021-06-21 | 2021-07-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-21 | 2021-07-14 | 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 | 2021-06-21 | 2021-07-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-11-05 | 2019-12-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-05 | 2019-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-05 | 2019-12-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-05 | 2019-12-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-05 | 2019-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-05 | 2019-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-05 | 2019-12-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-28 | 2019-10-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-28 | 2019-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-28 | 2019-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-28 | 2019-10-04 | N |
