A list of the most recent deficiencies for Truman Lake Manor Inc. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-27 | 2022-04-08 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-01-27 | 2022-03-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-01-27 | 2022-03-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-27 | 2022-03-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-27 | 2022-03-17 | 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 | 2022-01-27 | 2022-03-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-27 | 2022-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-03-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-27 | 2022-03-17 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-01-27 | 2022-03-17 | N |
| Post nurse staffing information every day. | Health | 2022-01-27 | 2022-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-27 | 2022-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-03-17 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-27 | 2022-03-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-27 | 2022-03-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-27 | 2022-03-17 | 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 | 2022-01-27 | 2022-03-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-27 | 2022-03-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-27 | 2022-03-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-27 | 2022-03-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-27 | 2022-03-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-08 | 2021-11-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-08 | 2021-11-08 | Y |
| 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 | 2019-06-11 | 2019-07-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-11 | 2019-07-24 | 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 | 2019-06-11 | 2019-07-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-11 | 2019-07-24 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-06-11 | 2019-07-24 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-06-11 | 2019-07-24 | 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 | 2019-06-11 | 2019-07-24 | 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 | 2019-06-11 | 2019-07-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-11 | 2019-07-24 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2019-06-11 | 2019-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-11 | 2019-07-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-11 | 2019-07-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-11 | 2019-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-11 | 2019-07-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-11 | 2019-07-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-11 | 2019-07-13 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-11 | 2019-07-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-06-11 | 2019-07-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-11 | 2019-07-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-11 | 2019-07-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-11 | 2019-06-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-11 | 2019-06-24 | N |
| Provide activities to meet all resident's needs. | Health | 2018-04-27 | 2018-06-11 | 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 necessary and PRN use is limited. | Health | 2018-04-27 | 2018-06-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-27 | 2018-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-27 | 2018-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-27 | 2018-06-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-04-27 | 2018-06-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-27 | 2018-06-11 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-04-27 | 2018-06-11 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-04-27 | 2018-06-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-04-27 | 2018-06-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-27 | 2018-06-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-04-27 | 2018-06-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-27 | 2018-06-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-27 | 2018-06-11 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-09 | Not Fixed | Y |
