A list of the most recent deficiencies for Boyce Manor Nursing Home. 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? |
|---|---|---|---|---|
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-07 | 2024-02-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-07 | 2024-01-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-12-07 | 2024-01-22 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-12-07 | 2024-01-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-07 | 2024-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2024-01-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-07 | 2024-01-22 | 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 | 2023-12-07 | 2024-01-22 | 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 | 2023-12-07 | 2024-01-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2024-01-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-12-05 | 2023-02-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-05 | 2023-02-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-05 | 2023-02-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-05 | 2023-02-20 | 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 | 2022-12-05 | 2023-02-20 | Y |
| 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 | 2022-12-05 | 2022-12-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-12-05 | 2022-12-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-05 | 2022-12-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-12-05 | 2022-12-23 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2022-12-05 | 2022-12-23 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2022-12-05 | 2022-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-05 | 2022-12-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-29 | 2022-12-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-29 | 2022-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-29 | 2022-12-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-29 | 2022-12-23 | 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 | 2021-04-01 | 2021-05-01 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-31 | 2021-04-29 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-03-31 | 2021-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-31 | 2021-04-27 | 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 | 2021-04-01 | 2021-04-19 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-04-01 | 2021-04-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-01 | 2021-04-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-01 | 2021-04-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-01 | 2021-04-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-04-01 | 2021-04-05 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-03-31 | 2021-04-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-31 | 2021-04-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-14 | 2019-12-12 | N |
