Deficiency Records for North Star Manor
Updated as of May 01, 2019
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 |
