A list of the most recent deficiencies for Fellowship 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 an approved automatic sprinkler system. | Fire Safety | 2023-07-05 | 2023-09-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-05 | 2023-09-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-05 | 2023-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-05 | 2023-09-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-05 | 2023-09-03 | N |
| Use approved construction type or materials. | Fire Safety | 2022-09-01 | 2022-10-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-01 | 2022-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-01 | 2022-10-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-01 | 2022-10-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-12 | 2022-09-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-24 | 2021-10-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-24 | 2021-10-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-24 | 2021-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-24 | 2021-10-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-29 | 2021-10-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-09-29 | 2021-10-30 | 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 | 2021-09-29 | 2021-10-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-29 | 2021-10-30 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-09-29 | 2021-10-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-09-29 | 2021-10-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-29 | 2021-10-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-29 | 2021-10-30 | N |
