A list of the most recent deficiencies for Greenway 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? |
|---|---|---|---|---|
| Construct fire resistant interior walls. | Fire Safety | 2023-09-07 | 2023-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-07 | 2023-10-10 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-09-07 | 2023-09-21 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-09-07 | 2023-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-07 | 2023-09-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-07 | 2023-09-21 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-09-07 | 2023-09-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-07 | 2023-09-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-07 | 2023-09-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-09-07 | 2023-09-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-10 | 2023-06-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-10 | 2023-06-05 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-28 | 2022-07-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-28 | 2022-07-20 | 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 | 2022-06-28 | 2022-07-19 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-06-28 | 2022-07-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-28 | 2022-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-28 | 2022-07-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-28 | 2022-07-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-28 | 2022-07-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-28 | 2022-07-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-04-12 | 2021-05-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-12 | 2021-05-12 | 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 | 2021-04-13 | 2021-04-27 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2021-04-13 | 2021-04-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-04-13 | 2021-04-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-04-12 | 2021-04-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-12 | 2021-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-12 | 2021-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-12 | 2021-04-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-12 | 2021-04-12 | N |
