Deficiency Records for Peabody Manor
Updated as of July 01, 2020
This is not the most recent data for Peabody Manor. For the most recent information, click here.
A list of the most recent deficiencies for Peabody 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? |
|---|---|---|---|---|
| Be properly staffed | Fire Safety | 2019-10-16 | 2019-11-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-16 | 2019-11-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-16 | 2019-11-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-10-16 | 2019-11-08 | 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 | 2019-10-16 | 2019-11-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-16 | 2019-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-16 | 2019-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-16 | 2019-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-16 | 2019-11-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-16 | 2019-11-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-16 | 2019-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-16 | 2019-11-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-10-16 | 2019-11-08 | 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 | 2019-06-05 | 2019-07-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-05 | 2019-07-03 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-10 | 2018-11-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-11 | 2018-11-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-10-11 | 2018-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-11 | 2018-11-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-11 | 2018-11-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-10-11 | 2018-10-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-08-17 | 2017-09-15 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-17 | 2017-09-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-08-17 | 2017-09-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-17 | 2017-09-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-17 | 2017-09-15 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-17 | 2017-09-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-17 | 2017-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-15 | 2017-09-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-08-15 | 2017-09-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-15 | 2017-09-01 | N |
