Deficiency Records for Holy Family Manor
Updated as of August 01, 2021
This is not the most recent data for Holy Family Manor. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-22 | 2020-11-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-09-22 | 2020-11-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-18 | 2020-10-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-15 | 2019-04-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-15 | 2019-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-15 | 2019-04-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-03-15 | 2019-04-24 | 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 | 2019-03-15 | 2019-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-15 | 2019-04-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-15 | 2019-04-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-15 | 2019-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-15 | 2019-04-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-23 | 2018-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-23 | 2018-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-23 | 2018-05-14 | 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 | 2018-03-23 | 2018-05-14 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-03-23 | 2018-05-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-23 | 2018-05-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-03-23 | 2018-05-14 | N |
| Use approved construction type or materials. | Fire Safety | 2018-03-28 | 2018-05-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-28 | 2018-05-04 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-03-28 | 2018-05-04 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-03-28 | 2018-05-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-28 | 2018-05-04 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-03-28 | 2018-05-04 | N |
