A list of the most recent deficiencies for Ross 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-16 | 2023-03-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-16 | 2023-03-31 | N |
| 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 | 2023-02-16 | 2023-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-16 | 2023-03-31 | 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 | 2023-02-16 | 2023-03-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-16 | 2023-03-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-16 | 2023-03-31 | N |
| Post nurse staffing information every day. | Health | 2023-02-16 | 2023-03-31 | 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 | 2023-02-16 | 2023-03-31 | 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 | 2023-02-16 | 2023-03-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-16 | 2023-03-31 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-16 | 2023-03-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-16 | 2023-03-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-16 | 2023-03-31 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-14 | 2023-02-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-12 | 2022-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-12 | 2022-02-15 | 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 | 2022-01-12 | 2022-02-15 | 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 | 2022-01-12 | 2022-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-12 | 2022-02-15 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-01-11 | 2022-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-02 | 2021-10-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-15 | 2020-02-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-15 | 2020-02-14 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-01-15 | 2020-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-15 | 2020-02-14 | 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 | 2020-01-14 | 2020-01-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-14 | 2020-01-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-14 | 2020-01-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-14 | 2020-01-29 | N |
