A list of the most recent deficiencies for Georgia Manor Nursing Home. 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? |
---|---|---|---|---|
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-08 | 2024-03-02 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-27 | 2024-02-28 | Y |
Ensure that residents are free from significant medication errors. | Health | 2024-01-25 | 2024-01-03 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-05 | 2023-09-30 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-05 | 2023-09-30 | 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 | 2023-07-26 | 2023-08-18 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-28 | 2023-03-23 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-28 | 2023-03-23 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-28 | 2023-03-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-22 | 2022-03-26 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-30 | 2022-01-10 | 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 | 2021-11-30 | 2022-01-10 | N |
Have exits that are accessible at all times. | Fire Safety | 2021-11-30 | 2022-01-10 | 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 | 2021-11-30 | 2022-01-10 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-11-30 | 2022-01-10 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-30 | 2022-01-10 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-11-30 | 2022-01-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-30 | 2022-01-10 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-30 | 2022-01-10 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-30 | 2022-01-10 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-11-30 | 2022-01-10 | N |
Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2021-11-30 | 2022-01-10 | 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 | 2021-11-30 | 2021-12-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-30 | 2021-12-30 | N |
Ensure the activities program is directed by a qualified professional. | Health | 2021-11-30 | 2021-12-30 | 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 | 2021-11-30 | 2021-12-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-30 | 2021-12-30 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-30 | 2021-12-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-11-30 | 2021-12-30 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-30 | 2021-12-30 | N |
List the names and contact information of those in the facility. | Fire Safety | 2021-11-30 | 2021-12-30 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-30 | 2021-12-30 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-16 | 2021-07-06 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-04 | 2019-11-12 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-04 | 2019-11-12 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-10-04 | 2019-11-12 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-04 | 2019-11-12 | 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 | 2019-10-04 | 2019-11-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-04 | 2019-11-12 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-04 | 2019-11-10 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-10-04 | 2019-11-10 | 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 | 2019-10-04 | 2019-10-31 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-04 | 2019-10-31 | N |
Post nurse staffing information every day. | Health | 2019-10-04 | 2019-10-28 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-10-03 | 2019-10-25 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-03 | 2019-10-25 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-04 | 2019-10-21 | 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 | 2019-10-04 | 2019-10-21 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-10-04 | 2019-10-21 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-04 | 2019-10-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-04 | 2019-10-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-04 | 2019-10-21 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-04 | 2019-10-21 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-10-04 | 2019-10-21 | 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 | 2019-10-04 | 2019-10-21 | N |