Deficiency Records for Normandy Nursing Center
Updated as of March 01, 2021
This is not the most recent data for Normandy Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Normandy Nursing Center. 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? |
---|---|---|---|---|
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 | 2020-09-15 | 2020-10-20 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-15 | 2020-10-20 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-09-15 | 2020-10-20 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-15 | 2020-10-20 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-15 | 2020-10-20 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-15 | 2020-10-20 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-15 | 2020-10-20 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-02-07 | 2019-03-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-07 | 2019-03-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-07 | 2019-03-20 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-07 | 2019-03-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-07 | 2019-03-20 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-07 | 2019-03-20 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-02-07 | 2019-03-20 | N |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-02-07 | 2019-03-20 | N |
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-02-07 | 2019-03-20 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-02-07 | 2019-03-20 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-02-07 | 2019-03-20 | 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 | 2019-02-07 | 2019-03-20 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-02-07 | 2019-03-20 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-07 | 2019-03-20 | 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 | 2019-02-07 | 2019-03-20 | N |
Provide activities to meet all resident's needs. | Health | 2019-02-07 | 2019-03-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-20 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-02-07 | 2019-03-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-20 | N |
Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-02-07 | 2019-03-20 | N |
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2019-02-07 | 2019-03-20 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-02-07 | 2019-03-20 | N |
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-02-07 | 2019-03-20 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-07 | 2019-03-20 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-11 | 2018-12-07 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-03 | 2018-12-07 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-09-11 | 2018-11-02 | 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 | 2018-09-11 | 2018-11-02 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-07-03 | 2018-11-02 | 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 | 2018-07-03 | 2018-11-02 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-11 | 2018-10-01 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-03 | 2018-10-01 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-03 | 2018-08-06 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-03 | 2018-08-06 | Y |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-07-03 | 2018-08-06 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-03 | 2018-08-06 | Y |
Respond appropriately to all alleged violations. | Health | 2018-07-03 | 2018-08-06 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-03 | 2018-08-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-03 | 2018-08-06 | Y |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-09 | 2018-05-21 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-09 | 2018-05-21 | 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 | 2018-04-09 | 2018-05-21 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-09 | 2018-05-21 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-04-09 | 2018-05-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-09 | 2018-05-21 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-09 | 2018-05-21 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-09 | 2018-05-21 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-04-09 | 2018-05-21 | N |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-04-09 | 2018-05-21 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-04-09 | 2018-05-21 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-04-09 | 2018-05-21 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-04-09 | 2018-05-21 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-04-09 | 2018-05-21 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-09 | 2018-05-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-09 | 2018-05-21 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-09 | 2018-05-21 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-04-09 | 2018-05-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-09 | 2018-05-21 | N |
Provide activities to meet all resident's needs. | Health | 2018-04-09 | 2018-05-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-09 | 2018-05-21 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-04-09 | 2018-05-21 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-09 | 2018-05-21 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-04-09 | 2018-05-21 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2018-04-09 | 2018-05-21 | N |
Post nurse staffing information every day. | Health | 2018-04-09 | 2018-05-21 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-04-09 | 2018-05-21 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-04-09 | 2018-05-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-09 | 2018-05-21 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-09 | 2018-05-21 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-04-09 | 2018-05-21 | N |
Provide and implement an infection prevention and control program. | Health | 2018-04-09 | 2018-05-21 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-04-09 | 2018-05-21 | N |