A list of the most recent deficiencies for Mercy Manor Transition Center. 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? |
|---|---|---|---|---|
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-06-08 | 2023-07-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-07 | 2023-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-07 | 2023-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-07 | 2023-06-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-07 | 2023-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-08 | 2023-06-16 | 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 | 2023-06-08 | 2023-06-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-08 | 2023-06-09 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-08 | 2023-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-28 | 2022-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-28 | 2022-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-27 | 2022-05-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-27 | 2022-05-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-28 | 2022-05-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-28 | 2022-05-18 | 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 | 2022-04-28 | 2022-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-28 | 2022-04-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-16 | 2022-02-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-14 | 2021-04-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-14 | 2021-04-30 | 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 | 2021-04-14 | 2021-04-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-14 | 2021-04-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-14 | 2021-04-27 | N |
