Most Recent Deficiencies for COMMUNITY MANOR

Updated as of July 01, 2020

The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

The tables below are too small to fit on a phone. More information can be seen using a larger device such as a tablet, laptop, or desktop computer.

Deficiency Deficiency Date
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. 2020-02-28
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. 2020-02-28
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. 2019-01-30
Have proper medical gas storage and administration areas. 2019-01-30
Install an approved automatic sprinkler system. 2018-03-08
Inspect, test, and maintain automatic sprinkler systems. 2018-03-08
Install corridor and hallway doors that block smoke. 2018-03-08
Have an externally vented heating system. 2018-03-08
Have restrictions on the use of portable space heaters. 2018-03-08
Have proper medical gas storage and administration areas. 2018-03-08
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted 2019-07-22
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 2019-07-22
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 2019-07-22
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. 2019-07-22
Ensure services provided by the nursing facility meet professional standards of quality. 2019-05-30
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. 2019-05-16
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. 2020-02-28
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. 2020-02-28
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 2020-02-28
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. 2020-02-28
Prepare residents for a safe transfer or discharge from the nursing home. 2020-02-28
Ensure each resident receives an accurate assessment. 2020-02-28
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted 2020-02-28
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2020-02-28
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 2020-02-28
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. 2020-02-28
Provide activities to meet all resident's needs. 2020-02-28
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. 2020-02-28
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2020-02-28
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 2020-02-28
Ensure medication error rates are not 5 percent or greater. 2020-02-28
Ensure that residents are free from significant medication errors. 2020-02-28
Provide and implement an infection prevention and control program. 2020-02-28
Implement a program that monitors antibiotic use. 2020-02-28
Assure the security of all personal funds of residents deposited with the facility. 2019-01-30
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. 2019-01-30
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2019-01-30
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. 2019-01-30
Post nurse staffing information every day. 2019-01-30
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. 2019-01-30
Provide and implement an infection prevention and control program. 2019-01-30
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 2018-03-08
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 2018-03-08
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2018-03-08
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. 2018-03-08
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 2018-03-08
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. 2018-03-08
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. 2018-03-08
Provide and implement an infection prevention and control program. 2018-03-08