A list of the most recent deficiencies for Guy and Mary Felt Manor, Inc. 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 | 2023-07-10 | 2023-08-31 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-07-10 | 2023-08-31 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-10 | 2023-08-31 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-10 | 2023-08-31 | 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 | 2023-07-10 | 2023-08-31 | 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 | 2023-07-10 | 2023-08-31 | 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 | 2023-07-10 | 2023-08-31 | 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 | 2023-07-10 | 2023-08-31 | N |
Provide or obtain dental services for each resident. | Health | 2023-07-10 | 2023-08-31 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-10 | 2023-08-31 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-12 | 2023-08-14 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2023-07-12 | 2023-08-14 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-12 | 2023-08-14 | N |
Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-12-06 | 2022-12-16 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-04 | 2022-10-03 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-10-03 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-10-03 | 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 | 2022-08-04 | 2022-10-03 | 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 | 2022-08-04 | 2022-10-03 | N |
Provide or obtain dental services for each resident. | Health | 2022-08-04 | 2022-10-03 | N |
Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-10-03 | 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 | 2022-08-09 | 2022-08-22 | 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 | 2022-08-09 | 2022-08-22 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2021-09-21 | 2021-10-22 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-21 | 2021-10-22 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-21 | 2021-10-22 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2021-09-21 | 2021-10-22 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-10 | 2021-10-20 | 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 | 2021-09-10 | 2021-10-20 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-10 | 2021-10-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-10 | 2021-10-20 | N |