Deficiency Records for Mother Angeline Mccrory Manor
Updated as of January 01, 2020
This is not the most recent data for Mother Angeline Mccrory Manor. For the most recent information, click here.
A list of the most recent deficiencies for Mother Angeline Mccrory 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? |
---|---|---|---|---|
Conduct testing and exercise requirements. | Fire Safety | 2019-02-05 | 2019-04-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-05 | 2019-04-01 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-02-05 | 2019-04-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-05 | 2019-04-01 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-02-05 | 2019-04-01 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-05 | 2019-04-01 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-02-10 | 2019-04-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-10 | 2019-04-01 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-10 | 2019-04-01 | N |
Provide activities to meet all resident's needs. | Health | 2019-02-10 | 2019-04-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-10 | 2019-04-01 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-10 | 2019-04-01 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-10 | 2019-04-01 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-10 | 2019-04-01 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-10 | 2019-04-01 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-10 | 2019-04-01 | 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 ne | Health | 2019-02-10 | 2019-04-01 | 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 | 2019-02-10 | 2019-04-01 | N |
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 | 2019-02-10 | 2019-04-01 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-10 | 2019-04-01 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-10 | 2019-04-01 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-10 | 2019-04-01 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-10 | 2019-04-01 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-10 | 2019-04-01 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-11-01 | 2017-12-19 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2017-11-01 | 2017-12-19 | 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 | 2017-11-01 | 2017-12-19 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-01 | 2017-12-19 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-11-01 | 2017-12-19 | N |
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-11-02 | 2017-12-19 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2017-11-02 | 2017-12-19 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-11-02 | 2017-12-19 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-02 | 2017-12-19 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2017-11-02 | 2017-12-19 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-02 | 2017-12-19 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-11-02 | 2017-12-19 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-02 | 2017-12-19 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-18 | 2016-09-30 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-08-18 | 2016-09-30 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-08-18 | 2016-09-30 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-08-18 | 2016-09-30 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-18 | 2016-09-30 | N |