Deficiency Records for Logan Manor Community Health Services
Updated as of March 01, 2024
A list of the most recent deficiencies for Logan Manor Community Health Services. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-07 | 2024-03-07 | 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 | 2024-02-07 | 2024-03-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-07 | 2024-03-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-07 | 2024-03-07 | 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 | 2024-02-07 | 2024-03-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-07 | 2024-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-07 | 2024-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-07 | 2024-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-07 | 2024-03-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-07 | 2024-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-07 | 2024-03-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-07 | 2024-03-07 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-02-07 | 2024-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-07 | 2024-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-07 | 2024-03-07 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-01-08 | 2024-01-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-08 | 2024-01-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-08 | 2024-01-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-08 | 2024-01-26 | 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 | 2024-01-08 | 2024-01-26 | 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 | 2024-01-08 | 2024-01-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-08 | 2024-01-26 | N |
| 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 | 2024-01-08 | 2024-01-26 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-08 | 2024-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-08 | 2024-01-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-08 | 2022-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-08 | 2022-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-08 | 2022-08-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-16 | 2022-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-16 | 2022-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-16 | 2022-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-08 | 2021-01-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-01-08 | 2021-01-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-08 | 2021-01-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-01-08 | 2021-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-01-08 | 2021-01-21 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-11-23 | 2020-12-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-11-23 | 2020-12-01 | N |
