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Deficiency Records for York Manor Nursing Home
View the most recent health deficiencies and inspection results for York Manor Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for York Manor Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-09-15 | 2026-01-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-09-15 | 2026-01-16 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2025-09-15 | 2026-01-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-09-15 | 2026-01-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-09-15 | 2026-01-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-09-15 | 2026-01-16 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-09-15 | 2025-11-17 | N |
| Post nurse staffing information every day. | Health | 2025-09-15 | 2025-11-17 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-09-15 | 2025-11-17 | N |
| Dispose of garbage and refuse properly. | Health | 2025-09-15 | 2025-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-15 | 2025-11-17 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2025-09-15 | 2025-11-17 | 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 | 2025-09-15 | 2025-11-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-09-15 | 2025-11-17 | 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 | 2025-09-15 | 2025-11-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-15 | 2025-11-17 | 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 | 2025-09-15 | 2025-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-15 | 2025-11-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-15 | 2025-11-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-09-15 | 2025-11-17 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-15 | 2025-11-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-09-15 | 2025-11-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-15 | 2025-11-17 | 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 | 2025-09-15 | 2025-11-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-01-29 | 2025-03-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-29 | 2025-03-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-29 | 2025-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-29 | 2025-02-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-01-29 | 2025-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-29 | 2025-02-21 | N |
| Post nurse staffing information every day. | Health | 2025-01-29 | 2025-02-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-01-29 | 2025-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-16 | 2024-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-16 | 2023-11-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-16 | 2023-11-28 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-10-16 | 2023-11-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-16 | 2023-11-28 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-16 | 2023-11-28 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-16 | 2023-11-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-16 | 2023-11-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-16 | 2023-11-28 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-10-16 | 2023-11-28 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-10-16 | 2023-11-28 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-10-16 | 2023-11-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-16 | 2023-11-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-16 | 2023-11-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-16 | 2023-11-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-16 | 2023-11-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-10-16 | 2023-11-28 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-16 | 2023-11-28 | N |