CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Julia Manor Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Julia Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Julia Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-09-15 | 2025-10-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-09-15 | 2025-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-09-15 | 2025-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-09-15 | 2025-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-15 | 2025-10-31 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2025-09-15 | 2025-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-09-15 | 2025-10-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-15 | 2025-10-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-09-15 | 2025-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-15 | 2025-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-15 | 2025-10-31 | 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 | 2025-09-15 | 2025-10-31 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-09-15 | 2025-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-15 | 2025-10-14 | 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 | 2025-09-15 | 2025-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-15 | 2025-10-14 | 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 | 2025-09-15 | 2025-10-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-09-15 | 2025-10-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-09-15 | 2025-10-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-09-15 | 2025-10-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-09-15 | 2025-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-15 | 2025-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-15 | 2025-10-14 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-09-15 | 2025-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-15 | 2025-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-15 | 2025-10-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-09-15 | 2025-10-14 | 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 | 2025-09-15 | 2025-10-14 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-08-14 | 2023-10-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-14 | 2023-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-14 | 2023-10-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-14 | 2023-10-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-14 | 2023-10-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-14 | 2023-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-14 | 2023-10-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-14 | 2023-10-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-14 | 2023-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-14 | 2023-10-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-14 | 2023-10-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-14 | 2023-10-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-14 | 2023-10-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-14 | 2023-10-06 | 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 | 2023-08-14 | 2023-10-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-14 | 2023-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-14 | 2023-10-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-14 | 2023-10-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-14 | 2023-10-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-14 | 2023-10-06 | 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 | 2023-08-14 | 2023-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-14 | 2023-10-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-14 | 2023-10-06 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-08-14 | 2023-10-06 | 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 | 2023-08-14 | 2023-10-06 | Y |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2023-08-14 | 2023-10-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-14 | 2023-10-06 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-14 | 2023-10-06 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-08-14 | 2023-10-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-14 | 2023-10-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-14 | 2023-10-06 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-08-14 | 2023-10-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-14 | 2023-10-06 | 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 | 2023-08-14 | 2023-10-06 | 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 | 2023-08-14 | 2023-10-06 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2023-08-14 | 2023-10-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-14 | 2023-10-06 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-08-14 | 2023-10-06 | 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 | 2023-08-14 | 2023-10-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-14 | 2023-10-06 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-14 | 2023-10-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-08-14 | 2023-10-06 | 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 | 2023-08-14 | 2023-10-06 | 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 | 2023-08-14 | 2023-10-06 | 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 | 2023-08-14 | 2023-10-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-14 | 2023-10-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-14 | 2023-10-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-14 | 2023-10-06 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-14 | 2023-10-06 | 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 | 2023-08-14 | 2023-10-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-06-14 | 2019-07-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-14 | 2019-07-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-14 | 2019-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-14 | 2019-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-14 | 2019-07-12 | 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 | 2019-06-14 | 2019-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-14 | 2019-07-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-14 | 2019-07-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-14 | 2019-07-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-14 | 2019-07-12 | 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 | 2019-06-14 | 2019-07-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-14 | 2019-07-12 | 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 | 2019-06-14 | 2019-06-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-06-14 | 2019-06-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-14 | 2019-06-28 | N |