A list of the most recent deficiencies for Independence 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-12-11 | 2024-02-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-11 | 2024-02-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-11 | 2024-01-24 | N |
| Provide activities to meet all resident's needs. | Health | 2023-12-11 | 2024-01-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-11 | 2024-01-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-11 | 2024-01-24 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-11 | 2024-01-24 | 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 | 2023-12-11 | 2024-01-24 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-12-11 | 2024-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-11 | 2024-01-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-17 | 2022-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-17 | 2022-06-30 | 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 | 2022-05-17 | 2022-06-30 | 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 | 2022-05-17 | 2022-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-17 | 2022-06-30 | 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 | 2022-05-17 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-17 | 2022-06-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-17 | 2022-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-17 | 2022-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-17 | 2022-06-30 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-05-17 | 2022-06-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-05-17 | 2022-06-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-17 | 2022-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-17 | 2022-06-30 | 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 | 2021-05-28 | 2021-07-02 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-07-12 | 2019-08-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-12 | 2019-08-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-12 | 2019-08-24 | 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 | 2019-07-12 | 2019-08-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-12 | 2019-08-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-12 | 2019-08-24 | 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 | 2019-07-12 | 2019-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-12 | 2019-08-24 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-07-12 | 2019-08-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-12 | 2019-08-24 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-12 | 2019-08-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-12 | 2019-08-24 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-07-12 | 2019-08-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-07-12 | 2019-08-24 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-07-12 | 2019-08-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-12 | 2019-08-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-12 | 2019-08-24 | N |
