A list of the most recent deficiencies for Manokin Nursing and Rehab. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-16 | 2024-01-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-08-16 | 2024-01-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-16 | 2024-01-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-16 | 2024-01-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-11 | 2023-12-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-11 | 2023-12-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-11 | 2023-12-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-11 | 2023-12-19 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-11 | 2023-12-19 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-08-11 | 2023-12-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-11 | 2023-12-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-11 | 2023-12-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-11 | 2023-12-19 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-08-11 | 2023-12-19 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-08-11 | 2023-12-19 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-08-11 | 2023-12-19 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-08-11 | 2023-12-19 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-11 | 2023-12-19 | Y |
| Keep all essential equipment working safely. | Health | 2023-08-11 | 2023-12-19 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-08-11 | 2023-12-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-11 | 2023-12-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-11 | 2023-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-11 | 2023-12-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-11 | 2023-12-19 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-08-11 | 2023-12-19 | 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 | 2023-08-11 | 2023-12-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-11 | 2023-12-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-11 | 2023-10-16 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-08-11 | 2023-10-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-11 | 2023-10-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-11 | 2023-10-16 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-08-11 | 2023-10-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-11 | 2023-10-16 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2023-08-11 | 2023-10-16 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-08-11 | 2023-10-16 | 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 | 2023-08-11 | 2023-10-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-11 | 2023-10-16 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-11 | 2023-10-16 | 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 | 2023-08-11 | 2023-10-16 | N |
| Provide or obtain dental services for each resident. | Health | 2023-08-11 | 2023-10-16 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-08-11 | 2023-10-16 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-11 | 2023-10-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-11 | 2023-10-16 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-08-11 | 2023-10-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-11 | 2023-10-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-10-16 | Y |
| Have a combustible roofing system that meets safety standards. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-16 | 2023-10-16 | 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 | 2023-08-16 | 2023-10-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-17 | 2023-09-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-17 | 2023-09-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-17 | 2023-08-15 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2023-07-17 | 2023-08-15 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-17 | 2023-08-15 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-17 | 2023-08-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-13 | 2023-04-07 | Y |
| Keep all essential equipment working safely. | Health | 2023-01-13 | 2023-04-07 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-13 | 2023-04-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-13 | 2023-02-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-13 | 2023-02-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-13 | 2023-02-19 | Y |
| 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 | 2023-01-13 | 2023-02-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-09-09 | Y |
| Meet other general requirements. | Fire Safety | 2019-04-26 | 2019-06-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-26 | 2019-06-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-26 | 2019-06-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-26 | 2019-06-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-26 | 2019-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-26 | 2019-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-26 | 2019-06-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-15 | 2019-03-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-15 | 2019-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-15 | 2019-03-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-15 | 2019-03-28 | N |
| Post nurse staffing information every day. | Health | 2019-02-15 | 2019-03-28 | 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 | 2019-02-15 | 2019-03-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-10-13 | 2017-12-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-10-13 | 2017-12-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-28 | 2017-11-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-09-28 | 2017-11-08 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-28 | 2017-11-08 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-28 | 2017-11-08 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-28 | 2017-11-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-28 | 2017-11-08 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-28 | 2017-11-08 | N |
