A list of the most recent deficiencies for Hazel I Findlay Country Manor. 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? |
|---|---|---|---|---|
| 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 | 2023-06-06 | 2023-06-16 | 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 | 2023-06-06 | 2023-06-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-06 | 2023-06-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-06 | 2023-06-07 | 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 | 2022-07-13 | 2022-08-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-13 | 2022-08-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-13 | 2022-08-03 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-07-18 | 2022-07-19 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-07-13 | 2022-01-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-22 | 2021-07-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-05 | 2021-05-20 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-11 | 2020-12-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-13 | 2020-04-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-13 | 2020-04-21 | 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 | 2020-03-13 | 2020-04-21 | N |
| 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 | 2020-03-13 | 2020-04-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-13 | 2020-04-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-03-13 | 2020-04-21 | 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 | 2020-03-13 | 2020-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-13 | 2020-04-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-03-11 | 2020-04-10 | 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 | 2020-03-11 | 2020-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-11 | 2020-04-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-03-11 | 2020-04-10 | N |
