A list of the most recent deficiencies for Aria at Mitchell 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-16 | 2023-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-16 | 2023-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-16 | 2023-11-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-16 | 2023-11-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-16 | 2023-11-07 | Y |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-10-04 | 2023-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-04 | 2023-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-11-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-04 | 2023-11-06 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-08-07 | 2023-08-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-07 | 2023-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-26 | 2023-06-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-21 | 2022-08-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-21 | 2022-08-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-21 | 2022-08-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-21 | 2022-08-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-21 | 2022-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-21 | 2022-08-14 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2022-07-20 | 2022-08-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-07-20 | 2022-08-12 | 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 | 2022-07-20 | 2022-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-20 | 2022-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-20 | 2022-08-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-09 | 2021-09-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-09 | 2021-09-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-14 | 2021-06-30 | 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 | 2021-04-14 | 2021-06-30 | 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 | 2021-04-14 | 2021-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-14 | 2021-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-14 | 2021-06-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-14 | 2021-06-30 | 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 | 2021-04-14 | 2021-06-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-14 | 2021-06-30 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-13 | 2021-05-12 | N |
