A list of the most recent deficiencies for Atoka 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-19 | 2023-10-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-19 | 2023-10-11 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-06-22 | 2023-09-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-06-22 | 2023-07-31 | N |
| Post nurse staffing information every day. | Health | 2023-06-22 | 2023-07-31 | 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 | 2022-05-16 | 2022-06-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-16 | 2022-06-16 | 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 | 2022-05-16 | 2022-06-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-16 | 2022-06-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-16 | 2022-06-16 | 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 | 2022-05-12 | 2022-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-12 | 2022-06-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-05-12 | 2022-06-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-12 | 2022-06-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-17 | 2019-12-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-17 | 2019-12-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-17 | 2019-12-10 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-10-17 | 2019-11-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-10-17 | 2019-11-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-10-17 | 2019-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-17 | 2019-11-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-10-17 | 2019-11-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-17 | 2019-11-22 | 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 | 2019-10-17 | 2019-11-22 | 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 | 2019-10-17 | 2019-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-17 | 2019-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-17 | 2019-11-22 | 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 | 2019-10-17 | 2019-11-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-17 | 2019-11-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-10-17 | 2019-11-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-17 | 2019-11-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-17 | 2019-11-22 | 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 | 2019-10-17 | 2019-11-18 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-10-17 | 2019-11-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-17 | 2019-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-17 | 2019-10-24 | 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 | 2019-10-17 | 2019-10-22 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-10-17 | 2019-10-17 | N |
