Deficiency Records for Northern Manhattan Rehabilitation and Nursing Ctr
Updated as of April 01, 2024
A list of the most recent deficiencies for Northern Manhattan Rehabilitation and Nursing Ctr. 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-12-01 | 2024-01-26 | 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 | 2023-12-01 | 2024-01-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-01 | 2024-01-26 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-01 | 2024-01-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2024-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-20 | 2024-01-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-07 | 2022-05-06 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-07 | 2022-05-06 | 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 | 2021-10-05 | 2021-12-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-05 | 2021-12-02 | 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 | 2021-10-05 | 2021-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-05 | 2021-12-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-10-05 | 2021-12-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-05 | 2021-12-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-10-05 | 2021-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-05 | 2021-12-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-05 | 2021-12-02 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-10-05 | 2021-12-02 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-10-05 | 2021-12-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-05 | 2021-12-02 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-10-05 | 2021-12-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-10-05 | 2021-12-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-10-05 | 2021-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-05 | 2021-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-05 | 2021-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-05 | 2021-12-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-05 | 2021-12-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-10-05 | 2021-12-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-10-05 | 2021-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-05 | 2021-12-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-10-05 | 2021-12-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-14 | 2019-04-26 | 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 | 2019-03-14 | 2019-04-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-14 | 2019-04-26 | 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 | 2019-03-14 | 2019-04-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-03-14 | 2019-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-14 | 2019-04-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-03-14 | 2019-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-01 | Not Fixed | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-01 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-01 | Not Fixed | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-12-01 | Not Fixed | N |
