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Deficiency Records for The Manor at Elfindale
View the most recent health deficiencies and inspection results for The Manor at Elfindale. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Manor at Elfindale. Stay informed about quality of care issues.
| 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 | 2025-11-17 | 2025-12-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-11-17 | 2025-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-17 | 2025-12-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-11-17 | 2025-12-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-11-17 | 2025-12-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-17 | 2025-12-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-17 | 2025-12-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-11-17 | 2025-12-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-17 | 2025-12-29 | 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 | 2025-11-17 | 2025-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-02 | 2024-03-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-02 | 2024-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-02 | 2024-03-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-02-02 | 2024-03-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-03 | 2022-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-03 | 2022-01-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-03 | 2022-01-11 | 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 | 2021-12-03 | 2022-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-03 | 2022-01-11 | N |