Deficiency Records for Carmel Manor
Updated as of March 01, 2023
This is not the most recent data for Carmel Manor. For the most recent information, click here.
A list of the most recent deficiencies for Carmel 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | 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 |
| 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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-17 | 2022-04-22 | Y |
| 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 | Y |
| 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 | Y |
| 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 | Y |
| 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 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-02-11 | 2021-03-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-02-11 | 2021-03-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-02-11 | 2021-03-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-02-11 | 2021-03-29 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-08-13 | 2020-09-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-08-13 | 2020-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-13 | 2020-09-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-05-01 | 2020-05-27 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-07-11 | 2019-08-30 | 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 | 2019-07-11 | 2019-08-30 | 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 | 2019-07-11 | 2019-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-10 | 2019-07-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-10 | 2019-07-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-10 | 2019-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-10 | 2019-07-29 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-07-10 | 2019-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-12 | 2018-08-20 | N |
