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Deficiency Records for Carmel Manor
View the most recent health deficiencies and inspection results for Carmel Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Carmel Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-01 | 2025-12-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-01 | 2025-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-01 | 2025-12-16 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-12-01 | 2025-12-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-12-01 | 2025-12-16 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-12-01 | 2025-12-16 | 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 | 2025-12-01 | 2025-12-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-12-01 | 2025-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-24 | 2025-12-16 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-01 | 2025-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-24 | 2025-12-16 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-12-01 | 2025-12-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-01 | 2025-12-16 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-12-01 | 2025-12-16 | 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 | 2025-12-01 | 2025-12-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-01 | 2025-12-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-01 | 2025-12-12 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-07-24 | 2025-09-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-24 | 2025-09-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-07-24 | 2025-09-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-07-24 | 2025-09-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-24 | 2025-09-04 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-07-24 | 2025-09-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-15 | 2025-04-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-15 | 2025-04-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-15 | 2025-04-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-15 | 2025-04-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-15 | 2025-04-16 | 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 | 2025-03-15 | 2025-04-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-15 | 2025-04-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-05 | 2023-08-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-05-05 | 2023-08-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-05 | 2023-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-08-01 | 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 | 2023-05-05 | 2023-08-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-05 | 2023-08-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-05 | 2023-08-01 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-05-05 | 2023-08-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-05-05 | 2023-08-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-17 | 2022-04-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-17 | 2022-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-17 | 2022-04-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-17 | 2022-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-17 | 2022-04-22 | 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 | 2022-03-17 | 2022-04-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-17 | 2022-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-17 | 2022-04-22 | N |