Deficiency Records for Normandy Nursing Center
Updated as of July 01, 2022
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? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-09-01 | 2021-09-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-01 | 2021-09-16 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-09-01 | 2021-09-16 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-03-23 | 2021-09-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-23 | 2021-09-16 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-03-23 | 2021-09-16 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-03-23 | 2021-09-16 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-09-01 | 2021-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-29 | 2021-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-23 | 2021-09-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-26 | 2021-05-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-26 | 2021-05-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-26 | 2021-05-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-23 | 2021-05-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-23 | 2021-05-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-23 | 2021-05-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-23 | 2021-04-14 | Y |
| 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 |
| 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 |
| 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 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 | 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 |
| 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 |
