A list of the most recent deficiencies for Celina Manor. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-10 | 2023-06-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-10 | 2023-06-09 | 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 | 2023-05-10 | 2023-06-09 | 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 | 2023-05-10 | 2023-06-09 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-05-10 | 2023-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-06-09 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-08 | 2023-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-08 | 2023-06-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-08 | 2023-06-09 | 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 | 2019-12-19 | 2020-01-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-19 | 2020-01-24 | 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 | 2019-12-19 | 2020-01-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-19 | 2020-01-24 | 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 | 2019-12-19 | 2020-01-24 | 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 | 2019-12-16 | 2020-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-16 | 2020-01-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-16 | 2020-01-24 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-12-16 | 2020-01-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-16 | 2020-01-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-16 | 2020-01-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-18 | 2018-11-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-18 | 2018-11-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-18 | 2018-11-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-18 | 2018-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-18 | 2018-11-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide or obtain dental services for each resident. | Health | 2018-10-18 | 2018-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-18 | 2018-11-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-18 | 2018-11-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-15 | 2018-11-16 | N |
