Deficiency Records for Castle Manor Convalescent Center
Updated as of April 01, 2022
This is not the most recent data for Castle Manor Convalescent Center. For the most recent information, click here.
A list of the most recent deficiencies for Castle Manor Convalescent 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? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-12 | 2019-10-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-12 | 2019-10-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-12 | 2019-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-12 | 2019-10-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-12 | 2019-10-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-29 | 2019-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-29 | 2019-08-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-29 | 2019-08-30 | 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 | 2019-08-29 | 2019-08-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-08-29 | 2019-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-29 | 2019-08-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-29 | 2019-08-30 | 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 | 2019-05-06 | 2019-06-06 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-18 | 2018-11-06 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-10-18 | 2018-11-06 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-10-18 | 2018-11-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-18 | 2018-11-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-16 | 2018-08-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-16 | 2018-08-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-16 | 2018-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-08-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-30 | 2017-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-30 | 2017-07-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-06-23 | 2017-06-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-23 | 2017-06-26 | N |
| Maintain 15 months of resident assessments in the resident's active clinical record. | Health | 2017-06-23 | 2017-06-26 | 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 | 2017-06-23 | 2017-06-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-23 | 2017-06-26 | N |
| Give or get x-rays and other tests in a timely manner to meet the needs of residents. | Health | 2017-06-23 | 2017-06-26 | N |
