A list of the most recent deficiencies for Aurora Manor Special Care Cent. 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 | 2023-04-28 | 2023-05-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-11 | 2023-05-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-11 | 2023-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-11 | 2023-05-16 | N |
| 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 | 2023-04-03 | 2023-05-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-03 | 2023-05-16 | 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 | 2023-04-03 | 2023-05-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-03 | 2023-05-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-03 | 2023-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-03 | 2023-05-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-15 | 2022-12-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-07 | 2022-09-30 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-07 | 2022-09-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-07 | 2022-09-30 | 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 | 2022-01-28 | 2022-02-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-28 | 2022-02-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-17 | 2021-06-29 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-10-28 | 2020-02-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-31 | 2019-11-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-31 | 2019-11-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-11-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-28 | 2019-11-25 | 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 | 2019-10-28 | 2019-11-25 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-10-28 | 2019-11-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-28 | 2019-11-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-28 | 2019-11-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-28 | 2019-11-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-28 | 2019-11-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-28 | 2019-11-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-28 | 2019-11-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-28 | 2019-11-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-28 | 2019-11-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-28 | 2019-11-25 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-09-10 | 2018-09-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-10 | 2018-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-10 | 2018-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-10 | 2018-09-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-09-10 | 2018-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-10 | 2018-09-30 | N |
