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Deficiency Records for Evansville Manor Nursing and Rehab, LLC

View the most recent health deficiencies and inspection results for Evansville Manor Nursing and Rehab, LLC. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Evansville Manor Nursing and Rehab, LLC. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2026-02-25 2026-03-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2026-02-25 2026-03-23 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2026-02-25 2026-03-23 Y
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 2026-02-25 2026-03-23 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2026-02-25 2026-03-23 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-02-25 2026-03-23 Y
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 2026-02-25 2026-03-23 Y
Provide and implement an infection prevention and control program. Health 2026-02-25 2026-03-23 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2026-02-25 2026-03-23 N
Dispose of garbage and refuse properly. Health 2026-02-25 2026-03-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-02-25 2026-03-23 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2026-02-25 2026-03-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-02-25 2026-03-23 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2026-02-25 2026-03-23 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2026-02-25 2026-03-23 N
Install proper backup exit lighting. Fire Safety 2026-02-25 2026-03-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-02-25 2026-03-23 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2026-02-25 2026-03-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2026-02-25 2026-03-23 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2026-02-25 2026-03-23 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2026-02-25 2026-03-23 N
Have power receptacles that are properly grounded. Fire Safety 2026-02-25 2026-03-23 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2026-02-25 2026-03-23 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2026-03-26 2026-02-28 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-12-04 2025-12-05 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-12-04 2025-12-05 Y
Respond appropriately to all alleged violations. Health 2025-12-04 2025-12-05 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-09-17 2025-11-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-09-17 2025-10-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-06-18 2025-07-14 Y
Respond appropriately to all alleged violations. Health 2025-05-15 2025-06-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-05-15 2025-06-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-05-15 2025-06-09 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2025-05-15 2025-06-09 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-05-15 2025-06-09 Y
Ensure proper usage of power strips and extension cords. Fire Safety 2024-10-03 2024-10-31 N
Have power receptacles that are properly grounded. Fire Safety 2024-10-03 2024-10-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-10-03 2024-10-31 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-10-03 2024-10-31 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 2024-10-03 2024-10-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-10-03 2024-10-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-10-03 2024-10-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-10-03 2024-10-28 N
Provide enough food/fluids to maintain a resident's health. Health 2024-10-03 2024-10-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-03 2024-10-28 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-10-03 2024-10-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-10-03 2024-10-28 Y
Respond appropriately to all alleged violations. Health 2024-10-03 2024-10-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-10-03 2024-10-28 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-10-03 2024-10-28 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-10-03 2024-10-28 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-10-03 2024-10-28 Y
Ensure that residents are free from significant medication errors. Health 2024-10-03 2024-10-28 Y
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 2024-10-03 2024-10-28 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-10-03 2024-10-28 Y
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-10-03 2024-10-25 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-05 2024-02-28 Y
Respond appropriately to all alleged violations. Health 2024-02-05 2024-02-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-05 2024-02-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-05 2024-02-28 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2024-02-05 2024-02-28 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-06-29 2023-08-21 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 2023-06-29 2023-07-28 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-06-29 2023-07-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-29 2023-07-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-29 2023-07-28 N
Ensure that residents are free from significant medication errors. Health 2023-06-29 2023-07-28 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-06-29 2023-07-28 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-06-29 2023-07-28 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-06-29 2023-07-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-29 2023-07-28 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-06-29 2023-07-28 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2023-06-29 2023-07-28 N
Have power receptacles that are properly grounded. Fire Safety 2023-06-29 2023-07-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-06-29 2023-07-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-06-29 2023-07-28 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-06-29 2023-07-28 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-06-29 2023-07-28 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-06-29 2023-07-28 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-06-29 2023-07-28 N

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