A list of the most recent deficiencies for The 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? |
|---|---|---|---|---|
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-08-05 | 2022-11-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-08 | 2022-10-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-08 | 2022-10-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-05 | 2022-09-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-05 | 2022-09-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-05 | 2022-09-18 | 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 | 2022-08-05 | 2022-09-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-08-05 | 2022-09-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-05 | 2022-09-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-05 | 2022-09-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-05 | 2022-09-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-12 | 2022-06-26 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-05-12 | 2022-06-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-12 | 2022-06-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-12 | 2022-06-26 | 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 | 2022-05-12 | 2022-06-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-14 | 2020-03-27 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-02-14 | 2020-03-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-14 | 2020-03-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-14 | 2020-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-14 | 2020-03-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-14 | 2020-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-03-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-14 | 2020-03-27 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-02-14 | 2020-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-14 | 2020-03-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-14 | 2019-01-27 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2018-12-14 | 2019-01-27 | 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 | 2018-12-14 | 2019-01-27 | 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 | 2018-12-14 | 2019-01-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-12-14 | 2019-01-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-14 | 2019-01-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-14 | 2019-01-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-14 | 2019-01-27 | N |
| Post nurse staffing information every day. | Health | 2018-12-14 | 2019-01-27 | 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 | 2018-12-14 | 2019-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-14 | 2019-01-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-12-14 | 2019-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-14 | 2019-01-27 | 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 | 2018-12-14 | 2019-01-27 | N |
