Deficiency Records for Pecan Manor Nursing and Rehabilitation
Updated as of November 01, 2019
This is not the most recent data for Pecan Manor Nursing and Rehabilitation. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Construct fire resistant interior walls. | Fire Safety | 2019-04-22 | 2019-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-22 | 2019-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-22 | 2019-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-22 | 2019-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-22 | 2019-05-03 | 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 | 2019-04-22 | 2019-04-26 | 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 | 2019-04-22 | 2019-04-26 | N |
| Be properly staffed | Fire Safety | 2019-04-22 | 2019-04-23 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-04-26 | 2018-05-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-26 | 2018-05-31 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-04-27 | 2018-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-26 | 2018-05-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-26 | 2018-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-26 | 2018-04-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-27 | 2018-04-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-26 | 2018-04-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-26 | 2018-04-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-06-08 | 2017-07-25 | 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 | 2017-06-08 | 2017-07-23 | 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 | 2017-06-08 | 2017-07-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-08 | 2017-07-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-08 | 2017-07-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-08 | 2017-07-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-08 | 2017-07-23 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-09 | 2017-06-30 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-09 | 2017-06-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-09 | 2017-06-30 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-09 | 2017-06-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-01-03 | 2017-02-08 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-03 | 2017-02-08 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-03 | 2017-02-08 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-01-03 | 2017-02-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-17 | Not Fixed | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-17 | Not Fixed | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-04-17 | Not Fixed | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-17 | Not Fixed | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-17 | Not Fixed | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-17 | Not Fixed | Y |
| 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 | 2019-04-17 | Not Fixed | Y |
