CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Hallmark Manor
View the most recent health deficiencies and inspection results for Hallmark Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hallmark Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-05-13 | 2025-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-13 | 2025-09-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-13 | 2025-09-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-13 | 2025-09-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-13 | 2025-09-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-05-13 | 2025-08-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-13 | 2025-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-13 | 2025-07-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-13 | 2025-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-13 | 2025-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-13 | 2025-06-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-05-13 | 2025-06-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-13 | 2025-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-13 | 2025-06-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-13 | 2025-06-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-13 | 2025-06-19 | 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 | 2025-05-13 | 2025-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-13 | 2025-06-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-05-13 | 2025-06-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-13 | 2025-06-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-05-13 | 2025-06-19 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-13 | 2025-06-19 | 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 | 2025-05-13 | 2025-06-19 | 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 | 2025-05-13 | 2025-06-19 | 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 | 2025-05-13 | 2025-06-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-13 | 2025-06-19 | 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 | 2025-05-13 | 2025-06-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-13 | 2025-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-13 | 2025-06-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-13 | 2025-06-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-13 | 2025-06-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-13 | 2025-06-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-05-13 | 2025-06-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-13 | 2025-06-11 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-05-13 | 2025-06-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-13 | 2025-06-10 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-05-13 | 2025-05-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-05-13 | 2025-05-09 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-08-19 | 2024-10-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-19 | 2024-10-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-12 | 2024-06-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-10 | 2024-05-24 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-05-10 | 2024-05-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-06 | 2024-04-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-06 | 2024-04-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-06 | 2024-04-05 | 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 | 2024-03-06 | 2024-04-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-03-06 | 2024-04-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-06 | 2024-04-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-06 | 2024-04-05 | 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 | 2024-03-06 | 2024-04-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-06 | 2024-04-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-03-06 | 2024-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-06 | 2024-04-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-06 | 2024-04-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-06 | 2024-04-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-03-06 | 2024-04-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-06 | 2024-04-05 | 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 | 2024-03-06 | 2024-04-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-06 | 2024-04-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-06 | 2024-04-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Develop a communication plan. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-06 | 2024-04-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-08 | 2022-12-20 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-08 | 2022-12-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-11-08 | 2022-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-08 | 2022-12-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-08 | 2022-12-20 | 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 | 2022-11-08 | 2022-12-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-08 | 2022-12-20 | 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 | 2022-11-08 | 2022-12-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-08 | 2022-12-20 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2022-11-08 | 2022-12-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-08 | 2022-12-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-08 | 2022-12-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-08 | 2022-12-20 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-11-08 | 2022-12-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-08 | 2022-12-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-08 | 2022-12-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-08 | 2022-12-20 | 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 | 2022-11-08 | 2022-12-20 | N |
| Establish methods for sharing information. | Fire Safety | 2022-11-08 | 2022-12-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-11-08 | 2022-12-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-11-08 | 2022-12-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-08 | 2022-12-20 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-11-08 | 2022-12-05 | N |