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Deficiency Records for Hathaway Manor Extended Care

View the most recent health deficiencies and inspection results for Hathaway Manor Extended Care. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Hathaway Manor Extended Care. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2026-03-17 2026-04-20 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-01-16 2025-03-09 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2025-01-16 2025-03-09 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2025-01-16 2025-03-09 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-01-16 2025-03-09 N
Provide a written emergency evacuation plan. Fire Safety 2025-01-16 2025-03-09 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2025-01-16 2025-03-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-01-16 2025-03-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-01-16 2025-03-09 N
Meet other general requirements that are deficient. Fire Safety 2025-01-16 2025-03-09 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2025-01-16 2025-03-09 N
Conduct testing and exercise requirements. Fire Safety 2025-01-16 2025-03-09 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2025-01-16 2025-03-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-01-16 2025-02-24 N
Provide or obtain dental services for each resident. Health 2025-01-16 2025-02-24 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2025-01-16 2025-02-24 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2025-01-16 2025-02-24 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2025-01-16 2025-02-24 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2025-01-16 2025-02-24 N
Give the resident's representative the ability to exercise the resident's rights. Health 2025-01-16 2025-02-24 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-12-28 2024-02-11 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-12-28 2024-02-11 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-02-21 2024-01-31 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-29 2024-01-18 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-29 2024-01-18 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-11-29 2024-01-18 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-29 2024-01-18 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-12-28 2023-12-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-28 2023-12-15 Y
Provide and implement an infection prevention and control program. Health 2023-10-12 2023-11-20 N
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 2023-10-12 2023-11-20 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 2023-10-12 2023-11-20 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 2023-10-12 2023-11-20 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-10-12 2023-11-20 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-10-12 2023-11-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-10-12 2023-11-20 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-10-12 2023-11-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-13 2021-07-21 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-05-13 2021-07-21 N
Provide and implement an infection prevention and control program. Health 2021-05-13 2021-07-21 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-05-13 2021-07-12 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2021-05-13 2021-07-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-05-13 2021-07-12 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2021-05-13 2021-07-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-13 2021-07-12 N
Keep all essential equipment working safely. Health 2021-05-13 2021-07-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-13 2021-07-12 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 2021-05-13 2021-07-12 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-05-13 2021-07-12 N
Perform COVID19 testing on residents and staff. Health 2021-05-13 2021-07-12 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2021-05-13 2021-07-12 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2021-05-13 2021-07-12 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 2021-05-13 2021-07-12 N
Ensure that residents are free from significant medication errors. Health 2021-05-13 2021-07-12 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-05-13 2021-07-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-13 2021-07-12 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2021-05-13 2021-07-12 N
Respond appropriately to all alleged violations. Health 2021-05-13 2021-07-12 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-05-13 2021-07-12 N
Keep residents' personal and medical records private and confidential. Health 2021-05-13 2021-07-12 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-05-13 2021-07-12 N
Establish policies and procedures for volunteers. Fire Safety 2021-05-13 2021-07-03 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-05-13 2021-07-03 N
Conduct testing and exercise requirements. Fire Safety 2021-05-13 2021-07-03 N
Establish emergency prep training and testing. Fire Safety 2021-05-13 2021-07-03 N
List the names and contact information of those in the facility. Fire Safety 2021-05-13 2021-07-03 N
Establish roles under a Waiver declared by secretary. Fire Safety 2021-05-13 2021-07-03 N
Create arrangements with other facilities to receive patients. Fire Safety 2021-05-13 2021-07-03 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2021-05-13 2021-07-03 N
Address subsistence needs for staff and patients. Fire Safety 2021-05-13 2021-07-03 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2021-05-13 2021-07-03 N
Address patient/client population and determine types of services needed. Fire Safety 2021-05-13 2021-07-03 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-05-13 2021-07-03 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2021-05-13 2021-06-18 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 2021-05-13 2021-05-21 N

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