A list of the most recent deficiencies for Auburn 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 | 2023-05-17 | 2023-06-03 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-30 | 2023-05-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-30 | 2023-05-19 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-30 | 2023-05-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-28 | 2023-05-19 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-30 | 2023-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-14 | 2023-05-03 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-28 | 2023-04-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-28 | 2023-04-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-07 | 2023-01-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-09 | 2022-03-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-17 | 2021-09-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-12 | 2020-03-17 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2020-02-12 | 2020-03-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-05 | 2019-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-05 | 2019-01-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-12-04 | 2019-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-04 | 2019-01-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-04 | 2019-01-14 | N |
