Deficiency Records for Francis Marion Manor Health and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Francis Marion Manor Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-08 | 2022-01-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-08 | 2022-01-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-08 | 2022-01-07 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-11-08 | 2022-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-08 | 2022-01-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-08 | 2022-01-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-08 | 2022-01-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-11-08 | 2022-01-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-08 | 2022-01-07 | 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 | 2021-11-04 | 2021-12-19 | 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 | 2021-11-04 | 2021-12-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-04 | 2021-12-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-21 | 2020-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-21 | 2020-03-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-03 | 2019-06-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-03 | 2019-06-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-03 | 2019-06-07 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-05-03 | 2019-06-07 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-05-03 | 2019-06-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-03 | 2019-06-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-05-03 | 2019-06-07 | 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 | 2019-05-03 | 2019-06-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-03 | 2019-06-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-03 | 2019-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-03 | 2019-06-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-03 | 2019-06-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-03 | 2019-06-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-05-03 | 2019-06-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-03 | 2019-06-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-03 | 2019-06-07 | 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 | 2019-05-03 | 2019-06-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-03 | 2019-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-03 | 2019-06-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-03 | 2019-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-03 | 2019-06-07 | N |
