A list of the most recent deficiencies for Coldwater 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-17 | 2023-03-31 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-10 | 2022-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-10 | 2022-03-15 | 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 | 2022-02-10 | 2022-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-10 | 2022-03-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-02-10 | 2022-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-10 | 2022-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-10 | 2022-03-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-10 | 2022-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-10 | 2022-03-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-02-10 | 2022-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-10 | 2022-03-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-01-27 | 2022-02-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-01-27 | 2022-02-18 | 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 | 2022-01-27 | 2022-02-18 | 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 | 2019-08-07 | 2019-09-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-07 | 2019-09-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-07 | 2019-09-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-07 | 2019-09-21 | 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 | 2019-08-07 | 2019-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-05 | 2019-09-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-05 | 2019-09-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-07 | 2019-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-07 | 2019-09-09 | N |
