CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Andover Manor Rehab and Nursing
View the most recent health deficiencies and inspection results for Andover Manor Rehab and Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Andover Manor Rehab and Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-15 | 2026-02-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-01-15 | 2026-02-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-01-15 | 2026-02-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-15 | 2026-02-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-15 | 2026-02-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-15 | 2026-02-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-15 | 2026-02-05 | 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 | 2026-01-15 | 2026-02-05 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2026-01-15 | 2026-02-05 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2026-01-15 | 2026-02-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-15 | 2026-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-15 | 2026-02-05 | N |
| Keep all essential equipment working safely. | Health | 2026-01-15 | 2026-02-05 | N |
| Provide or obtain dental services for each resident. | Health | 2026-01-15 | 2026-02-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-09 | 2025-03-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-01-09 | 2025-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-09 | 2025-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-09 | 2025-02-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-09 | 2025-02-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-01-09 | 2025-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-09 | 2025-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-09 | 2025-02-21 | 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 | 2025-01-09 | 2025-02-21 | 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 | 2025-01-09 | 2025-02-21 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2025-01-09 | 2025-02-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-09 | 2025-02-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-09 | 2025-02-07 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-01-09 | 2025-02-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-09 | 2025-02-07 | 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 | 2025-01-09 | 2025-02-07 | N |
| 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 | 2025-01-09 | 2025-02-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-09 | 2025-02-07 | 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 | 2025-01-09 | 2025-02-07 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-01-09 | 2025-02-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-01-09 | 2025-02-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-01-09 | 2025-02-07 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-01-09 | 2025-02-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-01-09 | 2025-02-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-09 | 2025-02-07 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-01-09 | 2025-02-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-09 | 2025-02-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-09 | 2025-02-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-01-09 | 2025-02-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-09 | 2025-02-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-09 | 2025-02-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-01-17 | 2024-03-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-17 | 2024-03-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-17 | 2024-03-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-17 | 2024-03-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-17 | 2024-03-12 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-01-17 | 2024-03-12 | 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 | 2024-01-17 | 2024-03-12 | 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 | 2024-01-17 | 2024-03-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-17 | 2024-03-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-17 | 2024-03-12 | 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 | 2024-01-17 | 2024-03-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-17 | 2024-03-12 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-17 | 2024-03-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-17 | 2024-03-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-17 | 2024-03-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-17 | 2024-03-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-17 | 2024-03-12 | N |
| Meet other general requirements. | Fire Safety | 2024-01-17 | 2024-02-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-17 | 2024-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-02-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-17 | 2024-02-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-27 | 2023-10-31 | Y |