A list of the most recent deficiencies for Northern Manor Geriatric Center Inc. 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-24 | 2023-09-15 | 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 | 2023-08-24 | 2023-09-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-24 | 2023-09-15 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-07-07 | 2022-09-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-07-07 | 2022-09-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-07-07 | 2022-09-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-07 | 2022-09-05 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-07 | 2022-09-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-07 | 2022-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-07 | 2022-09-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-07 | 2022-09-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-07-07 | 2022-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-07 | 2022-09-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-07-07 | 2022-09-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-06 | 2022-08-24 | 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 | 2022-07-06 | 2022-08-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-07-06 | 2022-08-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-18 | 2022-01-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-15 | 2021-12-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-13 | 2021-07-14 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-01-09 | 2019-03-09 | N |
| 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. | Health | 2019-01-09 | 2019-03-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-09 | 2019-03-09 | 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 | 2019-01-09 | 2019-03-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-01-09 | 2019-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-09 | 2019-03-09 | 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 | 2019-01-09 | 2019-03-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-09 | 2019-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-09 | 2019-03-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-01-09 | 2019-03-08 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-01-09 | 2019-03-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-09 | 2019-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-09 | 2019-03-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-09 | 2019-03-08 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-01-09 | 2019-03-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-01-09 | 2019-03-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-07 | 2017-06-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-07 | 2017-06-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-07 | 2017-06-07 | N |
| Keep all essential equipment working safely. | Health | 2017-04-07 | 2017-06-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-04-07 | 2017-06-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-04-07 | 2017-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-07 | 2017-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-07 | 2017-06-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-07 | 2017-06-07 | N |
