A list of the most recent deficiencies for Court House 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-27 | 2023-01-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-27 | 2023-01-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-27 | 2023-01-13 | 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 | 2022-12-27 | 2023-01-13 | 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 | 2022-12-27 | 2023-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-27 | 2023-01-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-19 | 2023-01-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-19 | 2023-01-13 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-09-10 | 2020-02-29 | 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 | 2019-09-12 | 2019-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-12 | 2019-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-12 | 2019-10-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-09-12 | 2019-10-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-12 | 2019-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-12 | 2019-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-12 | 2019-10-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-09-10 | 2019-10-25 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-09-10 | 2019-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-10 | 2019-10-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-16 | 2018-09-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-16 | 2018-09-28 | 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 | 2018-08-16 | 2018-09-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-16 | 2018-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-16 | 2018-09-28 | N |
| Provide or obtain dental services for each resident. | Health | 2018-08-16 | 2018-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-16 | 2018-09-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-16 | 2018-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-09-28 | N |
