A list of the most recent deficiencies for Amberwood 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-03 | 2023-08-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-03 | 2023-08-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-03 | 2023-08-03 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-19 | 2023-02-16 | 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 | 2023-01-19 | 2023-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-19 | 2023-02-16 | 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 | 2023-01-19 | 2023-02-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-19 | 2023-02-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-01-19 | 2023-02-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-07 | 2021-07-16 | 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 | 2021-05-07 | 2021-07-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-07 | 2021-07-16 | 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 necessary and PRN use is limited. | Health | 2021-05-07 | 2021-07-16 | 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 | 2021-05-07 | 2021-07-16 | N |
| Meet other general requirements. | Fire Safety | 2021-05-10 | 2021-07-16 | 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 | 2021-05-10 | 2021-07-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-10 | 2021-07-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-05-10 | 2021-07-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-10 | 2021-07-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-10 | 2021-07-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-28 | 2019-04-19 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-03-28 | 2019-04-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-28 | 2019-04-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-28 | 2019-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-28 | 2019-04-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-28 | 2019-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-04-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-28 | 2019-04-19 | N |
