A list of the most recent deficiencies for Little Flower 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? |
---|---|---|---|---|
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 | 2023-05-11 | 2023-06-01 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-11 | 2023-05-31 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-11 | 2023-05-31 | N |
Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-05-31 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2022-08-08 | 2022-09-01 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-08 | 2022-09-01 | N |
Have correct number of accessible exits for each story. | Fire Safety | 2022-08-08 | 2022-09-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-08 | 2022-09-01 | N |
Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-08-08 | 2022-09-01 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-08 | 2022-09-01 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-07-15 | 2022-07-26 | 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 | 2022-03-24 | 2022-03-14 | Y |