A list of the most recent deficiencies for Mayfair 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-20 | 2023-02-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-20 | 2023-02-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-20 | 2023-02-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-20 | 2023-02-21 | Y |
| Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | Health | 2023-01-20 | 2023-02-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-22 | 2022-05-04 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-22 | 2022-05-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-05-04 | Y |
| 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 | 2021-10-06 | 2021-10-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-24 | 2021-08-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-24 | 2021-08-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-24 | 2021-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-24 | 2021-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-24 | 2021-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-24 | 2021-08-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-06-24 | 2021-08-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-06-24 | 2021-08-08 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-06-24 | 2021-08-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-24 | 2021-08-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-09 | 2019-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-09 | 2019-06-17 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-05-07 | 2019-06-17 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-05-07 | 2019-06-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-07 | 2019-06-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-19 | 2018-05-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-19 | 2018-05-30 | N |
| Provide activities to meet all resident's needs. | Health | 2018-04-19 | 2018-05-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-19 | 2018-05-30 | 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 | 2018-04-19 | 2018-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-19 | 2018-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-19 | 2018-05-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-18 | 2018-05-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-18 | 2018-05-23 | N |
