A list of the most recent deficiencies for Mark Twain 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-19 | 2024-03-07 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-19 | 2024-03-01 | N |
| Provide appropriate foot care. | Health | 2024-01-19 | 2024-02-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-19 | 2024-02-09 | 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 | 2024-01-19 | 2024-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-19 | 2024-02-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-01-19 | 2024-02-06 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-01-19 | 2024-02-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-19 | 2024-02-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-19 | 2024-01-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-19 | 2024-01-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-19 | 2024-01-24 | N |
| Use approved construction type or materials. | Fire Safety | 2024-01-19 | 2024-01-22 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-01-19 | 2024-01-19 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-01-19 | 2024-01-19 | N |
| Post nurse staffing information every day. | Health | 2024-01-19 | 2024-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-19 | 2024-01-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-19 | 2024-01-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-19 | 2024-01-19 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-09-07 | 2023-09-07 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-02-15 | 2023-03-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-28 | 2022-12-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-28 | 2022-12-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-28 | 2022-12-12 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-10-28 | 2022-12-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-28 | 2022-12-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-10 | 2022-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-05 | 2022-08-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-10 | 2022-07-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-05 | 2022-07-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-05 | 2022-05-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-05 | 2022-05-31 | Y |
| 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 | 2022-05-05 | 2022-05-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-05 | 2022-05-31 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-01-18 | 2021-12-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-08 | 2019-12-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-08 | 2019-12-20 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-11-08 | 2019-12-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-11-08 | 2019-12-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-08 | 2019-12-20 | 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 | 2019-11-08 | 2019-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-11-08 | 2019-12-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-08 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-08 | 2019-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-08 | 2019-12-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-08 | 2019-12-20 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-11-08 | 2019-12-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-18 | 2018-11-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
| Meet other general requirements. | Fire Safety | 2018-10-18 | 2018-11-20 | N |
