A list of the most recent deficiencies for Manor Grove, Incorporated. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-28 | 2023-10-19 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-02 | 2023-01-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-02 | 2023-01-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-02 | 2023-01-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-02 | 2023-01-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2023-01-01 | 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 | 2022-11-17 | 2023-01-01 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-11-17 | 2023-01-01 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-11-17 | 2023-01-01 | 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 | 2022-11-17 | 2023-01-01 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-17 | 2022-12-08 | Y |
Post nurse staffing information every day. | Health | 2022-11-17 | 2022-11-17 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-27 | 2022-07-27 | Y |
Use approved construction type or materials. | Fire Safety | 2019-04-05 | 2019-05-10 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-05 | 2019-05-10 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-05 | 2019-05-10 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-04-05 | 2019-05-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-05 | 2019-05-10 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-05 | 2019-05-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-05 | 2019-05-10 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-05 | 2019-05-10 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-05 | 2019-05-10 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-04-05 | 2019-05-10 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-04-05 | 2019-05-03 | 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 | 2019-04-05 | 2019-05-03 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-05 | 2019-05-03 | N |
Provide activities to meet all resident's needs. | Health | 2019-04-05 | 2019-05-03 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-05 | 2019-05-03 | 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 | 2019-04-05 | 2019-05-03 | N |
Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-05-03 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-15 | 2018-03-23 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-15 | 2018-03-23 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-15 | 2018-03-23 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-02-15 | 2018-03-23 | 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 | 2018-02-15 | 2018-03-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-15 | 2018-03-13 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-02-15 | 2018-03-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-15 | 2018-02-19 | N |