A list of the most recent deficiencies for Holton 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? |
|---|---|---|---|---|
| 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 | 2023-10-04 | 2023-11-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-04 | 2023-11-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-04 | 2023-11-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-11-02 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-23 | 2023-09-08 | 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 | 2023-08-23 | 2023-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-08-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-23 | 2023-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-04 | 2022-05-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-04 | 2022-05-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-04 | 2022-05-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-04 | 2022-05-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-04 | 2022-05-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-04 | 2022-05-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-04 | 2022-05-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-05-04 | 2022-05-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-04 | 2022-05-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-24 | 2021-03-11 | 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 | 2021-02-23 | 2021-03-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-02-23 | 2021-03-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-02-23 | 2021-03-11 | N |
