A list of the most recent deficiencies for Forrest Manor Nursing Center. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-06-30 | 2023-09-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-30 | 2023-09-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-30 | 2023-09-25 | 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 | 2023-06-30 | 2023-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-30 | 2023-09-25 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-06-30 | 2023-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-30 | 2023-09-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-20 | 2022-06-16 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-05-20 | 2022-06-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-20 | 2022-05-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-20 | 2022-05-26 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-05-20 | 2022-05-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-09 | 2021-05-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-09 | 2021-05-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-09 | 2021-05-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-09 | 2021-05-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-09 | 2021-05-17 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-03-09 | 2021-05-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-09 | 2021-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-09 | 2021-05-17 | Y |
| Report COVID19 data to residents and families. | Health | 2021-03-09 | 2021-05-17 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-12-12 | 2020-02-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-12 | 2020-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-12 | 2020-02-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-12-11 | 2020-02-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-11 | 2020-02-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-11 | 2020-02-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-12-11 | 2020-02-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-24 | 2018-11-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-24 | 2018-11-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-24 | 2018-11-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-24 | 2018-11-14 | 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 | 2018-09-24 | 2018-11-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-24 | 2018-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-24 | 2018-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-24 | 2018-11-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-09-24 | 2018-11-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-09-24 | 2018-11-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-20 | 2018-11-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-20 | 2018-11-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-09-20 | 2018-11-13 | N |
