A list of the most recent deficiencies for Monroe 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 properly protected cooking facilities. | Fire Safety | 2023-12-06 | 2023-12-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-06 | 2023-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-14 | 2023-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-08-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-29 | 2022-10-28 | Y |
| 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 | 2021-04-09 | 2021-05-05 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-06 | 2021-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-06 | 2021-05-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-06 | 2021-05-05 | 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 | 2018-12-13 | 2019-01-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-13 | 2019-01-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-12-13 | 2019-01-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-12-13 | 2019-01-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-12-13 | 2019-01-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-13 | 2019-01-17 | 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 | 2018-12-13 | 2019-01-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-13 | 2019-01-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-13 | 2019-01-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-12-12 | 2019-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-12 | 2019-01-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-12 | 2019-01-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-12 | 2019-01-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-12 | 2019-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-13 | 2019-01-07 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-13 | 2019-01-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-13 | 2019-01-07 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-12-13 | 2019-01-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-12-13 | 2019-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-13 | 2019-01-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-13 | 2019-01-07 | N |
