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Deficiency Records for Geriatric Center of Mansfield
A list of the most recent deficiencies for Geriatric Center of Mansfield. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Geriatric Center of Mansfield. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-05-14 | 2024-06-17 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-14 | 2024-06-17 | Y |
| 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 | 2024-05-14 | 2024-06-17 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-04-15 | 2024-06-17 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-04-15 | 2024-06-17 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-04-15 | 2024-06-17 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-04-15 | 2024-06-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-15 | 2024-06-17 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-04-15 | 2024-06-17 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-04-15 | 2024-06-17 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-04-15 | 2024-06-17 | 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 | 2024-04-15 | 2024-06-17 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-04-15 | 2024-06-17 | Y |
| 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 | 2024-04-15 | 2024-06-17 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-04-15 | 2024-06-17 | Y |
| 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 | 2024-04-15 | 2024-06-17 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-04-15 | 2024-06-17 | 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 | 2023-12-21 | 2024-01-26 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-03 | 2023-07-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-10 | 2023-06-02 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-10 | 2023-06-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-30 | 2023-04-14 | Y |
| Post nurse staffing information every day. | Health | 2023-02-08 | 2023-03-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-02-08 | 2023-03-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-08 | 2023-03-08 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-08-18 | 2022-10-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-18 | 2022-10-21 | 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 | 2022-08-18 | 2022-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-10-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-18 | 2022-10-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-18 | 2022-10-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-18 | 2022-10-21 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-15 | 2022-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-15 | 2022-10-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-15 | 2022-10-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-15 | 2022-10-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-15 | 2022-10-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-28 | 2019-10-31 | N |
| 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 | 2019-08-28 | 2019-10-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-28 | 2019-10-31 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-28 | 2019-10-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-28 | 2019-10-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-28 | 2019-10-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-28 | 2019-10-31 | N |
| Post nurse staffing information every day. | Health | 2019-08-28 | 2019-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-28 | 2019-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-28 | 2019-10-31 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-08-28 | 2019-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-28 | 2019-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-28 | 2019-10-31 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-08-28 | 2019-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-28 | 2019-10-31 | 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 | 2018-07-26 | 2018-10-05 | N |
| 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 | 2018-07-26 | 2018-10-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-26 | 2018-10-05 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-07-26 | 2018-10-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-26 | 2018-10-05 | 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 | 2018-07-26 | 2018-10-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-26 | 2018-10-05 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-07-27 | 2018-10-05 | 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 | 2018-07-27 | 2018-10-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-27 | 2018-10-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-27 | 2018-10-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-07-27 | 2018-10-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-07-27 | 2018-10-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-27 | 2018-10-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-27 | 2018-10-05 | N |
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