Deficiency Records for Topside Manor Inc
Updated as of August 01, 2019
This is not the most recent data for Topside Manor Inc. For the most recent information, click here.
A list of the most recent deficiencies for Topside Manor Inc. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-14 | 2019-03-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-14 | 2019-03-20 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-14 | 2019-03-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-14 | 2019-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-14 | 2019-03-20 | Y |
| 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 | 2019-02-14 | 2019-03-20 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-02-14 | 2019-03-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-02-14 | 2019-03-20 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-02-14 | 2019-03-20 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-20 | 2019-01-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-12-20 | 2019-01-20 | N |
| Develop a communication plan. | Fire Safety | 2018-12-20 | 2019-01-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-12-20 | 2019-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-09 | 2018-08-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-22 | 2017-12-15 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-22 | 2017-12-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-22 | 2017-12-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-22 | 2017-12-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-22 | 2017-12-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-22 | 2017-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-22 | 2017-12-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-22 | 2017-12-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-22 | 2017-12-15 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-11-22 | 2017-12-15 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-07-13 | 2017-07-02 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-13 | 2017-07-02 | Y |
| 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 | 2017-07-13 | 2017-07-02 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-31 | 2017-02-15 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-31 | 2017-02-15 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-01-31 | 2017-02-15 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-14 | 2016-07-11 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-04-14 | 2016-07-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-14 | 2016-07-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-14 | 2016-07-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-04-14 | 2016-07-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-04-14 | 2016-05-09 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-04-14 | 2016-05-09 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-14 | 2016-05-09 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-04-14 | 2016-05-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-14 | 2016-05-09 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-04-14 | 2016-05-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-14 | 2016-05-09 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2016-04-14 | 2016-05-09 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-04-14 | 2016-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-14 | 2016-05-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-14 | 2016-05-09 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-04-14 | 2016-05-09 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-04-14 | 2016-05-09 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-04-14 | 2016-05-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-14 | 2016-05-09 | N |
