CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Grand Manor Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Grand Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Grand Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-12-09 | 2026-04-23 | N |
| 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 | 2025-12-09 | 2026-04-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-12-09 | 2026-04-23 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-09 | 2026-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-09 | 2026-04-23 | Y |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2026-02-24 | 2026-04-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-02-24 | 2026-04-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-24 | 2026-04-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-09 | 2026-02-12 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-09 | 2026-02-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-12-09 | 2026-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-09 | 2026-02-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-09 | 2026-02-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-12-09 | 2026-02-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-12-09 | 2026-02-06 | N |
| Keep all essential equipment working safely. | Health | 2025-12-09 | 2026-02-06 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-12-09 | 2026-02-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-12-09 | 2026-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-09 | 2026-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-09 | 2026-02-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-09 | 2026-02-06 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-12-09 | 2026-02-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-09 | 2026-02-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-09 | 2026-02-06 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-12-09 | 2026-02-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-05-29 | 2025-11-22 | 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 | 2025-05-29 | 2025-08-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-05-29 | 2025-08-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-05-29 | 2025-08-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-29 | 2025-08-08 | 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 | 2025-05-29 | 2025-07-27 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-05-29 | 2025-07-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-29 | 2025-07-18 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-05-29 | 2025-07-18 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-05-29 | 2025-07-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-29 | 2025-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-29 | 2025-07-18 | 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 | 2025-05-29 | 2025-07-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-29 | 2025-07-18 | N |
| Respond appropriately to all alleged violations. | Health | 2025-05-29 | 2025-07-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-29 | 2025-07-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-10 | 2025-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-10 | 2025-04-15 | 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 | 2024-12-19 | 2025-02-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-12-19 | 2025-02-20 | Y |
| Keep all essential equipment working safely. | Health | 2024-12-19 | 2025-02-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-11-21 | 2025-02-20 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-11-21 | 2025-02-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-11-21 | 2025-02-17 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-11-21 | 2025-02-17 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-11-21 | 2025-02-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-11-21 | 2025-01-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-21 | 2025-01-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-11-21 | 2025-01-20 | Y |
| 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 | 2024-11-21 | 2025-01-20 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-11-21 | 2025-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-21 | 2025-01-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-21 | 2025-01-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-11-21 | 2025-01-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-21 | 2025-01-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-21 | 2025-01-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-11-21 | 2025-01-20 | 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 | 2024-11-21 | 2025-01-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-06-11 | 2024-08-02 | Y |
| Provide appropriate foot care. | Health | 2024-06-11 | 2024-08-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-11 | 2024-08-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-07 | 2023-09-20 | Y |
| 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 | 2023-07-13 | 2023-09-04 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-07-13 | 2023-08-29 | 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 | 2025-12-09 | Not Fixed | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-12-09 | Not Fixed | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-12-09 | Not Fixed | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-12-09 | Not Fixed | N |