A list of the most recent deficiencies for Renaissance Manor On Cabot. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-02-01 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-14 | 2023-09-09 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-14 | 2023-08-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-08 | 2023-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-08 | 2023-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-08 | 2023-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-08 | 2023-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-14 | 2023-08-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-02-02 | 2023-02-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-02 | 2023-02-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-02 | 2023-02-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-26 | 2022-09-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-26 | 2022-09-28 | 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 | 2022-08-26 | 2022-09-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-26 | 2022-09-28 | 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 | 2022-08-26 | 2022-09-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-08 | 2022-09-22 | 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 | 2022-09-08 | 2022-09-22 | 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 | 2022-09-08 | 2022-09-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-08 | 2022-09-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-08 | 2022-09-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-29 | 2020-02-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-29 | 2020-02-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-26 | 2019-12-20 | 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 | 2019-11-26 | 2019-12-20 | 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 | 2019-11-26 | 2019-12-20 | N |
