Deficiency Records for Julia Manor Nursing and Rehabilitation Center
Updated as of November 01, 2020
This is not the most recent data for Julia Manor Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Julia Manor Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-12-20 | 2020-01-17 | 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 | 2019-12-20 | 2020-01-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-20 | 2020-01-17 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | 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 |
| Ensure each resident receives an accurate assessment. | 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 |
| 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| 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 |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-14 | 2019-07-12 | 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 |
| 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 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-14 | 2019-07-12 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-05 | 2019-06-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-05 | 2019-06-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-05 | 2019-06-28 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2019-04-19 | 2019-05-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-19 | 2019-05-17 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-11-02 | 2019-01-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-02 | 2019-01-09 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-06-20 | 2018-07-20 | 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 | 2018-06-20 | 2018-07-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-22 | 2018-01-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-22 | 2018-01-22 | 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 | 2017-12-22 | 2018-01-22 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2017-12-22 | 2018-01-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2017-12-22 | 2018-01-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-22 | 2018-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-22 | 2018-01-22 | 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 | 2017-12-22 | 2018-01-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-22 | 2018-01-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2017-12-22 | 2018-01-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-22 | 2018-01-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2017-12-22 | 2018-01-22 | 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 | 2017-12-22 | 2018-01-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-22 | 2018-01-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-12-22 | 2018-01-22 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-12-22 | 2018-01-22 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-12-21 | 2018-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-21 | 2018-01-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-12-21 | 2018-01-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-21 | 2018-01-19 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-09-13 | 2016-11-15 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-09-13 | 2016-11-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-13 | 2016-11-15 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-09-13 | 2016-11-15 | N |
| Proper power supply for life support equipment. | Fire Safety | 2016-09-13 | 2016-11-15 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-09-13 | 2016-11-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-02 | 2016-10-18 | N |
| Provide housekeeping and maintenance services. | Health | 2016-09-02 | 2016-10-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-09-02 | 2016-10-18 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-02 | 2016-10-18 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-09-02 | 2016-10-18 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-09-02 | 2016-10-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-02 | 2016-10-18 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-09-02 | 2016-10-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-02 | 2016-10-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-02 | 2016-10-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-02 | 2016-10-18 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-05-02 | Not Fixed | Y |
