A list of the most recent deficiencies for Avera Bormann 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-06-08 | 2023-07-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-06 | 2023-07-13 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-06-06 | 2023-07-07 | 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 | 2022-01-20 | 2022-03-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-15 | 2019-07-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-15 | 2019-07-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-15 | 2019-05-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-05-15 | 2019-05-22 | N |
