A list of the most recent deficiencies for Gil-Mor 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-09-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-16 | 2023-09-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-16 | 2023-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-16 | 2023-09-29 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-08-16 | 2023-09-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-08-16 | 2023-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-16 | 2023-09-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-16 | 2023-09-29 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-08-16 | 2023-09-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-16 | 2023-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-16 | 2023-09-29 | N |
| Report COVID19 data to residents and families. | Health | 2022-05-27 | 2022-07-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-27 | 2022-07-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-27 | 2022-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-27 | 2022-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-27 | 2022-06-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-27 | 2022-06-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-27 | 2022-06-28 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-26 | 2022-06-23 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-27 | 2022-06-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-18 | 2020-01-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-18 | 2020-01-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-18 | 2020-01-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-18 | 2020-01-21 | 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 | 2019-12-18 | 2020-01-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-18 | 2019-12-19 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-12-18 | 2019-12-18 | N |
