Deficiency Records for Carriage House Manor
Updated as of May 01, 2024
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Deficiency Records for Carriage House Manor
A list of the most recent deficiencies for Carriage House Manor. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Carriage House Manor. 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? |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-27 | 2023-07-31 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-27 | 2023-07-31 | 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 | 2023-04-26 | 2023-06-02 | 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 | 2023-04-26 | 2023-06-01 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-26 | 2023-05-31 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-26 | 2023-05-31 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-04-26 | 2023-05-31 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-04-26 | 2023-05-31 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-26 | 2023-05-31 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-26 | 2023-05-31 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-26 | 2023-05-31 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-26 | 2023-05-31 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-04-26 | 2023-05-31 | N |
Provide and implement an infection prevention and control program. | Health | 2023-04-26 | 2023-05-31 | 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 | 2022-03-03 | 2022-03-23 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-03 | 2022-03-23 | N |
Respond appropriately to all alleged violations. | Health | 2022-03-03 | 2022-03-23 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-03 | 2022-03-23 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-03 | 2022-03-23 | 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 | 2022-03-03 | 2022-03-23 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-03-03 | 2022-03-23 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-03 | 2022-03-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-04 | 2022-03-15 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-04 | 2022-03-08 | 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 | 2022-03-04 | 2022-03-05 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-23 | 2019-12-20 | 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 | 2019-10-23 | 2019-12-20 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-23 | 2019-12-06 | 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 | 2019-10-24 | 2019-10-25 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-24 | 2019-10-25 | N |
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