A list of the most recent deficiencies for Normandy Manor of Rocky River. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-12 | 2024-03-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-12 | 2024-03-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-12 | 2024-03-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-12 | 2024-03-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-19 | 2023-12-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-27 | 2023-08-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-27 | 2023-08-17 | Y |
| 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 | 2023-07-27 | 2023-08-17 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-04-15 | 2022-05-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-15 | 2022-05-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-15 | 2022-05-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-15 | 2022-05-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-04-15 | 2022-05-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-15 | 2022-05-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-04-15 | 2022-05-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-15 | 2022-05-15 | 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 | 2022-04-15 | 2022-05-15 | 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 | 2022-04-15 | 2022-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-15 | 2022-05-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-15 | 2022-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-15 | 2022-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-13 | 2022-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-13 | 2022-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-25 | 2019-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-25 | 2019-06-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-25 | 2019-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-06-12 | N |
| Dispose of garbage and refuse properly. | Health | 2019-04-25 | 2019-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-25 | 2019-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-06-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-23 | 2019-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-23 | 2019-06-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-04-23 | 2019-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-23 | 2019-06-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-23 | 2019-06-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-23 | 2019-06-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-23 | 2019-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-23 | 2019-06-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-23 | 2019-06-12 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-03-08 | 2018-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-08 | 2018-04-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-03-07 | 2018-04-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-03-07 | 2018-04-20 | N |
