A list of the most recent deficiencies for Pioneer Manor Nursing Home. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-14 | 2023-10-06 | 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 | 2023-09-14 | 2023-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-12 | 2023-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-12 | 2023-09-20 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-08-09 | 2022-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-09 | 2022-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-09 | 2022-08-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-09 | 2022-08-30 | N |
| Provide or obtain dental services for each resident. | Health | 2022-08-09 | 2022-08-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-09 | 2022-08-30 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-08-09 | 2022-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-09 | 2022-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-09 | 2022-08-30 | N |
| Keep all essential equipment working safely. | Health | 2022-08-09 | 2022-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-02 | 2022-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-02 | 2022-08-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-02 | 2022-08-10 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2022-08-02 | 2022-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-22 | 2022-03-24 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-22 | 2022-03-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-30 | 2021-04-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-03-30 | 2021-04-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-30 | 2021-04-20 | 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 | 2021-03-30 | 2021-04-20 | N |
| 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. | Health | 2021-03-30 | 2021-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-30 | 2021-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-30 | 2021-04-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-25 | 2021-04-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-25 | 2021-04-20 | N |
