Deficiency Records for Aria at Mitchell Manor

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Updated as of April 01, 2022

This is not the most recent data for Aria at Mitchell Manor. For the most recent information, click here.

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 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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-02-25 2021-04-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-02-25 2021-02-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-11-18 2019-12-18 Y
Observe each nurse aide's job performance and give regular training. Health 2019-07-16 2019-08-19 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-07-16 2019-07-16 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2019-04-18 2019-05-17 N
Honor the resident's right to choose his or her attending physician. Health 2019-04-18 2019-05-17 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-04-18 2019-05-17 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-04-18 2019-05-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-04-18 2019-05-17 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-04-18 2019-05-17 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-04-18 2019-05-17 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-04-18 2019-05-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-18 2019-05-17 N
Provide and implement an infection prevention and control program. Health 2019-04-18 2019-05-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-02-26 2018-03-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-02-26 2018-03-26 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 2018-02-26 2018-03-26 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2018-02-26 2018-03-26 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-02-26 2018-03-26 N
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 2018-02-26 2018-03-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-02-26 2018-03-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-02-22 2018-03-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-02-22 2018-03-26 N