A list of the most recent deficiencies for Holy Family 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-20 | 2023-09-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-20 | 2023-09-08 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-07-20 | 2023-09-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-01 | 2023-08-18 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-01 | 2023-08-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-18 | 2022-09-18 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-31 | 2022-09-16 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-08-18 | 2022-09-07 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-08-29 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-09-21 | 2021-11-19 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-21 | 2021-11-19 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-09 | 2021-10-15 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-09 | 2021-10-15 | N |