Deficiency Records for Midtown Manor
Updated as of April 01, 2021
This is not the most recent data for Midtown Manor. For the most recent information, click here.
A list of the most recent deficiencies for Midtown 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-02-03 | 2021-03-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-02-03 | 2021-03-15 | N |
| Report COVID19 data to residents and families. | Health | 2021-02-03 | 2021-03-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-02-03 | 2021-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-28 | 2020-11-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-15 | 2020-03-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-29 | 2019-10-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-08-29 | 2019-10-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-29 | 2019-10-28 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-29 | 2019-10-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-08-29 | 2019-10-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-29 | 2019-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-29 | 2019-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-29 | 2019-10-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-29 | 2019-10-28 | 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 | 2019-08-29 | 2019-10-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-29 | 2019-10-28 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-08-29 | 2019-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-29 | 2019-10-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-29 | 2019-10-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-26 | 2019-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-26 | 2019-10-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-26 | 2019-10-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-18 | 2018-08-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-18 | 2018-08-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-18 | 2018-08-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-07-18 | 2018-08-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-19 | 2018-08-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-19 | 2018-08-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-19 | 2018-08-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-19 | 2018-08-24 | 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 | 2018-07-19 | 2018-08-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-19 | 2018-08-24 | 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 | 2018-07-19 | 2018-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-19 | 2018-08-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-19 | 2018-08-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-19 | 2018-08-24 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-29 | 2017-05-30 | N |
| Completely assess the resident at least every twelve months. | Health | 2017-03-29 | 2017-05-30 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-03-29 | 2017-05-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-29 | 2017-05-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-29 | 2017-05-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2017-03-29 | 2017-05-30 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-03-29 | 2017-05-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-29 | 2017-05-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-29 | 2017-05-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-29 | 2017-05-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-29 | 2017-05-30 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2017-03-29 | 2017-05-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-28 | 2017-04-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-28 | 2017-04-30 | N |
