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Deficiency Records for Pisgah Manor Health Care Center
View the most recent health deficiencies and inspection results for Pisgah Manor Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pisgah Manor Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-01 | 2025-05-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-04-01 | 2025-05-29 | 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 | 2025-04-01 | 2025-05-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-01 | 2025-04-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-01 | 2025-04-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-06 | 2024-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-06 | 2024-02-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-06 | 2024-01-02 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-06 | 2024-01-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-06 | 2024-01-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-06 | 2024-01-02 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-06 | 2024-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-06 | 2024-01-02 | 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 | 2023-12-06 | 2024-01-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-06 | 2024-01-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-06 | 2024-01-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-10 | 2022-07-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-10 | 2022-07-25 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-10 | 2022-07-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-07-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-10 | 2022-07-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-10 | 2022-07-04 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-06-10 | 2022-07-04 | 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 | 2022-06-10 | 2022-07-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-10 | 2022-07-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-10 | 2022-07-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-10 | 2022-07-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-10 | 2022-07-04 | 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 | 2022-06-10 | 2022-07-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-06-10 | 2022-07-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-10 | 2022-07-04 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-06-10 | 2022-07-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-10 | 2022-07-04 | 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 | 2022-06-10 | 2022-07-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-06-10 | 2022-07-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-10 | 2022-07-04 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-10 | 2022-07-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-10 | 2022-07-04 | N |