A list of the most recent deficiencies for Towne Manor East. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Meet other general requirements. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Use approved construction type or materials. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-08 | 2024-03-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-22 | 2024-02-21 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-01-22 | 2024-02-21 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-01-22 | 2024-02-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-22 | 2024-02-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-01-22 | 2024-02-21 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-01-22 | 2024-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-22 | 2024-02-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-22 | 2024-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-22 | 2024-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-22 | 2024-02-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-01-22 | 2024-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-22 | 2024-02-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-22 | 2024-02-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-22 | 2024-02-21 | 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 | 2024-01-22 | 2024-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-22 | 2024-02-21 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-01-22 | 2024-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-22 | 2024-02-21 | N |
| Keep all essential equipment working safely. | Health | 2024-01-22 | 2024-02-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-22 | 2024-02-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-22 | 2024-02-21 | 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 | 2023-11-08 | 2023-11-30 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-30 | 2023-11-30 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-30 | 2023-11-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-19 | 2023-08-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-28 | 2023-04-28 | 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 | 2023-03-28 | 2023-04-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-28 | 2023-04-28 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-28 | 2023-04-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-28 | 2023-04-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-28 | 2023-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-28 | 2023-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-28 | 2023-04-28 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-03-28 | 2023-04-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-03-28 | 2023-04-28 | 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 | 2023-03-28 | 2023-04-28 | 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 | 2023-03-28 | 2023-04-28 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-28 | 2023-04-28 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-03-28 | 2023-04-28 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-03-28 | 2023-04-28 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-28 | 2023-04-28 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-03-28 | 2023-04-28 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-03-28 | 2023-04-28 | N |
| Keep all essential equipment working safely. | Health | 2023-03-28 | 2023-04-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-03-28 | 2023-04-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-31 | 2023-03-10 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-01-31 | 2023-03-10 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-01-31 | 2023-03-10 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-31 | 2023-03-10 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-01-31 | 2023-03-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-31 | 2023-03-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-29 | 2022-08-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-29 | 2022-08-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-24 | 2022-06-30 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-24 | 2022-06-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-05-24 | 2022-06-30 | 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 | 2022-05-24 | 2022-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-24 | 2022-06-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-24 | 2022-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-24 | 2022-06-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-06 | 2022-06-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-06 | 2022-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-21 | Not Fixed | Y |
