A list of the most recent deficiencies for The Manor, Inc. 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 that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-15 | 2023-03-15 | N |
Respond appropriately to all alleged violations. | Health | 2023-02-15 | 2023-03-15 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-15 | 2023-03-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-15 | 2023-03-15 | 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 | 2023-02-15 | 2023-03-15 | N |
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2023-02-15 | 2023-03-15 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-02-15 | 2023-03-15 | N |
Provide and implement an infection prevention and control program. | Health | 2023-02-15 | 2023-03-15 | N |
Construct fire resistant interior walls. | Fire Safety | 2021-12-27 | 2022-01-26 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-12-27 | 2022-01-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-15 | 2022-01-15 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-15 | 2022-01-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-15 | 2022-01-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-15 | 2022-01-15 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-15 | 2022-01-15 | N |
Have an externally vented heating system. | Fire Safety | 2021-12-27 | 2021-12-27 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-12-27 | 2021-12-27 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-08-07 | Not Fixed | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-14 | Not Fixed | N |