A list of the most recent deficiencies for Forest Hill 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-25 | 2023-03-31 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-01-25 | 2023-03-31 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-17 | 2022-11-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-17 | 2022-11-21 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-10-17 | 2022-11-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-17 | 2022-11-21 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-10-17 | 2022-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-17 | 2022-11-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-17 | 2022-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-20 | 2022-11-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-20 | 2022-11-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-10-20 | 2022-10-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-01-25 | 2022-04-19 | Y |
| 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 | 2022-01-25 | 2022-04-19 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-23 | 2021-10-08 | 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 | 2021-08-23 | 2021-10-08 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2021-08-23 | 2021-10-04 | 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 | 2021-08-23 | 2021-10-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-23 | 2021-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-23 | 2021-10-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-24 | 2021-09-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-24 | 2021-09-10 | 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 | 2021-08-24 | 2021-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-24 | 2021-09-10 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-16 | 2019-10-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-17 | 2019-10-28 | N |
