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 |