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Deficiency Records for Pilgrim Manor Skilled Nursing and Rehabilitation

View the most recent health deficiencies and inspection results for Pilgrim Manor Skilled Nursing and Rehabilitation. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Pilgrim Manor Skilled Nursing and Rehabilitation. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
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 2026-02-25 2026-04-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-02-25 2026-04-08 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 2026-02-25 2026-04-08 N
Provide enough food/fluids to maintain a resident's health. Health 2026-02-25 2026-04-08 N
Ensure medication error rates are not 5 percent or greater. Health 2026-02-25 2026-04-08 N
Provide and implement an infection prevention and control program. Health 2026-02-25 2026-04-08 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-09-03 2025-10-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-09-03 2025-10-15 Y
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-12-17 2025-02-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-12-17 2025-02-07 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-12-17 2025-02-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-12-17 2025-02-07 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-12-04 2024-11-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-04 2024-11-26 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-08-01 2024-08-29 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-08-01 2024-08-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-01 2024-08-29 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 2024-04-24 2024-06-08 Y
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 2024-01-31 2024-02-16 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-01-31 2024-02-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-31 2024-02-16 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-31 2024-02-16 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-06-07 2023-06-08 Y

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