Deficiency Records for Grand Manor Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Grand Manor Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-14 | 2023-08-28 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-07-14 | 2023-08-28 | 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 | 2023-07-14 | 2023-08-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-07-14 | 2023-08-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-14 | 2023-08-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-14 | 2023-08-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-07-14 | 2023-08-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-14 | 2023-08-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-07-14 | 2023-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-14 | 2023-08-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-07-14 | 2023-08-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-14 | 2023-08-28 | 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 | 2023-07-14 | 2023-08-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-08-28 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-14 | 2023-08-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-14 | 2023-08-28 | 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 | 2023-02-24 | 2023-05-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-24 | 2023-05-15 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-02-24 | 2023-04-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-09 | 2022-10-23 | Y |
| 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 | 2019-12-06 | 2020-01-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-06 | 2020-01-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-06 | 2020-01-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-06 | 2020-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-06 | 2020-01-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-06 | 2020-01-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-06 | 2020-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-06 | 2020-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-06 | 2020-01-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-06 | 2020-01-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-06 | 2020-01-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-06 | 2020-01-15 | 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 | 2019-02-28 | 2019-04-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-28 | 2019-04-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-28 | 2019-04-05 | 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 | 2019-02-28 | 2019-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-28 | 2019-04-05 | 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 | 2019-02-28 | 2019-04-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-28 | 2019-04-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-02-28 | 2019-04-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-02-28 | 2019-04-05 | N |
