A list of the most recent deficiencies for La Belle Manor Care 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-05 | 2023-10-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-30 | 2023-10-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-08-30 | 2023-10-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-30 | 2023-10-13 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-09-05 | 2023-10-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-05 | 2023-10-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-05 | 2023-10-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-05 | 2023-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-05 | 2023-10-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-09-05 | 2023-10-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-05 | 2023-10-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-02 | 2023-03-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-10 | 2020-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-10 | 2020-02-24 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-10 | 2020-02-24 | 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 | 2020-01-10 | 2020-02-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-10 | 2020-02-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-10 | 2020-02-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-10 | 2020-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-10 | 2020-02-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-10 | 2020-02-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-10 | 2020-02-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-10 | 2020-02-24 | 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 | 2019-02-11 | 2019-03-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-02-11 | 2019-03-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-02-11 | 2019-03-28 | 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 | 2019-02-11 | 2019-03-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-11 | 2019-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-11 | 2019-03-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-02-11 | 2019-03-28 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-11 | 2019-03-28 | 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 | 2019-02-11 | 2019-03-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-11 | 2019-03-28 | 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 | 2019-02-11 | 2019-03-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Meet other general requirements. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
