A list of the most recent deficiencies for Holiday Manor Care 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 all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-15 | 2023-12-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-13 | 2023-11-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-24 | 2023-08-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-11 | 2023-05-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-23 | 2022-09-29 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-09-23 | 2022-09-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-19 | 2022-09-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-08-04 | 2022-08-26 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-08-03 | 2022-08-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-03 | 2022-08-12 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-08-03 | 2022-08-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-28 | 2022-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-27 | 2022-01-13 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-11-23 | 2021-11-29 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-07-31 | 2021-08-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-21 | 2021-06-10 | 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 | 2021-05-21 | 2021-06-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-21 | 2021-06-10 | 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 | 2021-05-21 | 2021-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-21 | 2021-06-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-05-21 | 2021-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-21 | 2021-06-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-21 | 2021-06-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-21 | 2021-06-09 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-05-21 | 2021-06-08 | 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 | 2021-05-21 | 2021-06-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-20 | 2021-06-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-20 | 2021-06-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-20 | 2021-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-20 | 2021-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-20 | 2021-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-07 | 2020-03-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-02-07 | 2020-03-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-07 | 2020-03-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-07 | 2020-03-07 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-07 | 2020-03-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-07 | 2020-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-07 | 2020-03-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-07 | 2020-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-07 | 2020-03-07 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-07 | 2020-03-07 | 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 | 2020-02-07 | 2020-03-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-07 | 2020-03-07 | 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 | 2020-02-07 | 2020-03-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-07 | 2020-03-07 | 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 | 2020-02-07 | 2020-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-07 | 2020-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-07 | 2020-03-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-02-07 | 2020-02-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-07 | 2020-02-27 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-02-07 | 2020-02-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-07 | 2020-02-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-07 | 2020-02-27 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2020-02-07 | 2020-02-27 | 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 | 2020-02-07 | 2020-02-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-02-07 | 2020-02-27 | 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 | 2020-02-07 | 2020-02-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-07 | 2020-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-07 | 2020-02-27 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2020-02-07 | 2020-02-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-02-08 | 2019-03-05 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-02-08 | 2019-03-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-08 | 2019-03-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-02-08 | 2019-03-05 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-02-08 | 2019-03-05 | N |
| Establish methods for sharing information. | Fire Safety | 2019-02-08 | 2019-03-05 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-02-08 | 2019-03-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-02-08 | 2019-03-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-02-08 | 2019-03-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-02-08 | 2019-03-05 | 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 | 2019-02-08 | 2019-03-05 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-01-29 | 2019-02-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-01-29 | 2019-02-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-01-29 | 2019-02-21 | 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 | 2019-01-29 | 2019-02-21 | N |
