Deficiency Records for North Star Manor
Updated as of September 01, 2018
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? |
---|---|---|---|---|
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 | 2018-01-05 | 2018-02-14 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-05 | 2018-02-14 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-05 | 2018-02-14 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-01-05 | 2018-02-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-05 | 2018-02-14 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-01-05 | 2018-02-14 | N |
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 | 2018-01-05 | 2018-02-14 | 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 ne | Health | 2018-01-05 | 2018-02-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-06 | 2017-07-28 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2017-07-06 | 2017-07-28 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-07-06 | 2017-07-28 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2017-07-06 | 2017-07-28 | 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 | 2017-07-06 | 2017-07-28 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-06 | 2017-07-24 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2016-11-09 | 2017-01-05 | N |
Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2016-11-15 | 2016-12-26 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-11-15 | 2016-12-23 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-15 | 2016-12-23 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-15 | 2016-12-23 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-15 | 2016-12-23 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-15 | 2016-12-23 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-15 | 2016-12-23 | N |
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-11-15 | 2016-12-23 | N |
Keep complete, dated laboratory records in the resident's file. | Health | 2016-11-15 | 2016-12-23 | N |
Keep signed and dated reports of x-rays and other diagnostic services. | Health | 2016-11-15 | 2016-12-23 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-15 | 2016-12-23 | N |