Deficiency Records for North Star Manor
Updated as of August 01, 2016
This is not the most recent data for North Star Manor. For the most recent information, click here.
A list of the most recent deficiencies for North Star 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? |
|---|---|---|---|---|
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-15 | 2015-11-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-10-15 | 2015-11-29 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-10-15 | 2015-11-29 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-10-15 | 2015-11-29 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-10-15 | 2015-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-10-15 | 2015-11-29 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-10-15 | 2015-11-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-15 | 2015-11-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-10-15 | 2015-11-29 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-10-21 | 2015-11-24 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-04-08 | 2015-05-28 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-04-08 | 2015-05-28 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-04-08 | 2015-05-15 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-04-09 | 2015-05-12 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2015-04-09 | 2015-05-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-04-09 | 2015-05-12 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-04-09 | 2015-05-12 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-04-09 | 2015-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-09 | 2015-05-12 | 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 | 2015-04-09 | 2015-05-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-04-09 | 2015-05-12 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2015-04-08 | 2015-05-08 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-04-08 | 2015-05-05 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-04-08 | 2015-04-20 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-04-08 | 2015-04-15 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-04-08 | 2015-04-15 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-04-08 | 2015-04-14 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2015-04-08 | 2015-04-10 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2014-10-24 | 2015-01-06 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-10-24 | 2015-01-06 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-10-24 | 2015-01-06 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-11-07 | 2014-12-19 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-11-07 | 2014-12-19 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-11-07 | 2014-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-11-07 | 2014-12-19 | 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 | 2014-11-07 | 2014-12-19 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-11-07 | 2014-12-19 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-11-07 | 2014-12-19 | Y |
| Exits that are accessible at all times. | Fire Safety | 2014-11-05 | 2014-12-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-11-05 | 2014-12-15 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2014-11-05 | 2014-12-15 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-11-05 | 2014-12-15 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-11-05 | 2014-12-15 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-11-05 | 2014-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-02-07 | 2014-03-14 | Y |
