A list of the most recent deficiencies for Vista Manor Nursing 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-11 | 2023-01-19 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2022-10-11 | 2022-10-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-10-11 | 2022-10-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-11 | 2022-10-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-11 | 2022-10-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-11 | 2022-10-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-11 | 2022-10-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-11 | 2022-10-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-11 | 2022-10-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-07 | 2022-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-07 | 2022-10-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-07 | 2022-10-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-07 | 2022-10-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-07 | 2022-10-24 | 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 | 2022-10-07 | 2022-10-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-07 | 2022-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-07 | 2022-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-07 | 2022-10-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-07 | 2022-10-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-07 | 2022-10-24 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-12-29 | 2022-01-03 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-12-29 | 2022-01-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-14 | 2021-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-30 | 2020-02-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-30 | 2020-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-30 | 2020-02-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-30 | 2020-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-30 | 2020-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-30 | 2020-02-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-19 | 2020-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-19 | 2020-01-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-19 | 2020-01-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-19 | 2020-01-09 | 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 | 2019-12-19 | 2020-01-09 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-12-19 | 2020-01-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-19 | 2020-01-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-02-08 | 2019-02-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-08 | 2019-02-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-08 | 2019-02-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-08 | 2019-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-08 | 2019-02-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-08 | 2019-02-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-08 | 2019-02-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-02-08 | 2019-02-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-08 | 2019-02-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-08 | 2019-02-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-16 | 2018-12-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-16 | 2018-12-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-11-16 | 2018-12-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-16 | 2018-12-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-16 | 2018-12-11 | 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 | 2018-11-16 | 2018-12-11 | 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 | 2018-11-16 | 2018-12-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-16 | 2018-12-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-16 | 2018-12-11 | N |
