Deficiency Records for Calera Manor
Updated as of February 01, 2022
This is not the most recent data for Calera Manor. For the most recent information, click here.
A list of the most recent deficiencies for Calera 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? |
|---|---|---|---|---|
| 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 | 2021-09-02 | 2021-09-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-02 | 2021-09-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-02 | 2021-09-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-09-02 | 2021-09-24 | 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 | 2021-09-02 | 2021-09-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-02 | 2021-09-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-02 | 2021-09-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-02 | 2021-09-03 | N |
| 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 | 2021-09-02 | 2021-09-03 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-09-02 | 2021-09-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-21 | 2021-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-23 | 2019-06-24 | 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 | 2019-05-23 | 2019-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-23 | 2019-06-24 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-05-23 | 2019-06-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-21 | 2019-06-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-21 | 2018-07-16 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-06-21 | 2018-07-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-21 | 2018-07-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-06-21 | 2018-07-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-21 | 2018-07-16 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-20 | 2018-07-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-06-20 | 2018-07-16 | 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 | 2018-06-20 | 2018-07-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-06-20 | 2018-07-16 | N |
