A list of the most recent deficiencies for Indian Hills Manor. 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? |
---|---|---|---|---|
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-06 | 2023-05-21 | Y |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-04-06 | 2023-05-21 | Y |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-06 | 2023-05-21 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-06 | 2023-05-21 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-06 | 2023-05-21 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-06 | 2023-05-21 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-06 | 2023-05-21 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-02-09 | 2022-04-01 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-02-09 | 2022-04-01 | Y |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-02-09 | 2022-04-01 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-09 | 2022-04-01 | Y |
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 | 2022-02-09 | 2022-04-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-09 | 2022-04-01 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-09 | 2022-04-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-09 | 2022-04-01 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-04-01 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-09 | 2022-04-01 | Y |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-07 | 2022-04-01 | N |
Implement emergency and standby power systems. | Fire Safety | 2022-02-07 | 2022-03-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-07 | 2022-03-26 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-07 | 2022-03-26 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-07 | 2022-03-26 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-03 | 2021-08-31 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-25 | 2020-10-04 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-08-25 | 2020-10-04 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-08-20 | 2020-10-01 | 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 | 2020-08-20 | 2020-10-01 | N |
Assess the resident when there is a significant change in condition | Health | 2020-08-20 | 2020-10-01 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-08-20 | 2020-10-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-08-20 | 2020-10-01 | 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 | 2020-08-20 | 2020-10-01 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-08-20 | 2020-10-01 | N |