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Deficiency Records for Imperial Manor

View the most recent health deficiencies and inspection results for Imperial Manor. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Imperial Manor. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Conduct testing and exercise requirements. Fire Safety 2025-04-10 2025-06-10 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2025-04-10 2025-05-10 N
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Health 2025-04-10 2025-05-10 N
Keep all essential equipment working safely. Health 2025-04-10 2025-05-10 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2025-04-10 2025-05-10 N
Provide and implement an infection prevention and control program. Health 2025-04-10 2025-05-10 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2025-04-10 2025-05-10 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2025-04-10 2025-05-10 N
Ensure medication error rates are not 5 percent or greater. Health 2025-04-10 2025-05-10 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2025-04-10 2025-05-10 N
Provide enough food/fluids to maintain a resident's health. Health 2025-04-10 2025-05-10 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-04-10 2025-05-10 N
Provide properly protected cooking facilities. Fire Safety 2025-04-10 2025-05-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-04-10 2025-05-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-04-10 2025-05-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-04-10 2025-04-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2025-04-10 2025-04-17 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-08-09 2024-08-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-17 2024-05-23 Y
Ensure each resident receives an accurate assessment. Health 2024-04-17 2024-05-23 Y
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-04-18 2024-05-02 N
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Health 2024-04-18 2024-05-02 N
Provide and implement an infection prevention and control program. Health 2024-04-18 2024-05-02 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-04-18 2024-05-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-18 2024-05-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-18 2024-05-02 N
Assess the resident when there is a significant change in condition Health 2024-04-18 2024-05-02 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 2024-04-18 2024-05-02 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-04-18 2024-05-01 N
Provide properly protected cooking facilities. Fire Safety 2024-04-18 2024-05-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-18 2024-05-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-18 2024-05-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-23 2024-03-05 Y
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2024-02-23 2024-03-05 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-21 2023-10-10 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-12 2023-06-15 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-05-12 2023-06-15 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2023-05-12 2023-06-15 N
Provide and implement an infection prevention and control program. Health 2023-05-12 2023-06-15 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-05-12 2023-06-06 N
Conduct testing and exercise requirements. Fire Safety 2023-05-12 2023-06-06 N
Use approved construction type or materials. Fire Safety 2023-05-12 2023-06-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-12 2023-06-06 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-05-12 2023-06-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-12 2023-06-06 N
Provide properly protected cooking facilities. Fire Safety 2023-05-12 2023-06-06 N

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