Deficiency Records for Pecan Manor Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Pecan Manor Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-07 | 2023-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-24 | 2023-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-30 | 2023-07-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-06 | 2023-07-03 | 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 | 2023-06-06 | 2023-07-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-06 | 2023-07-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-06 | 2023-06-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-06 | 2023-06-21 | 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 | 2022-11-17 | 2022-12-16 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-17 | 2022-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-17 | 2022-06-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-17 | 2022-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-17 | 2022-06-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-17 | 2022-06-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-05 | 2021-03-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-02-05 | 2021-03-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-02-05 | 2021-03-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-02-04 | 2021-02-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-02-05 | 2021-02-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-02-04 | 2021-02-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-02 | Not Fixed | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-02 | Not Fixed | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-02-05 | Not Fixed | N |
