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Deficiency Records for Fountain View Subacute and Nursing Center
A list of the most recent deficiencies for Fountain View Subacute and Nursing Center. 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 Fountain View Subacute and Nursing Center. 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 and implement an infection prevention and control program. | Health | 2024-06-28 | 2024-08-15 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-06-28 | 2024-08-15 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-04-30 | 2024-05-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-18 | 2024-04-30 | 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 | 2024-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-18 | 2024-04-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-18 | 2024-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-18 | 2024-04-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-18 | 2024-04-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-04-18 | 2024-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-18 | 2024-04-30 | N |
| Post nurse staffing information every day. | Health | 2024-04-18 | 2024-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-18 | 2024-04-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-18 | 2024-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-18 | 2024-04-30 | 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 | 2024-04-18 | 2024-04-30 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-04-18 | 2024-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-18 | 2024-04-30 | N |
| 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 | 2024-04-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-18 | 2024-04-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-04-19 | 2024-04-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-19 | 2024-04-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-19 | 2024-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-19 | 2024-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-19 | 2024-04-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-19 | 2024-04-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-19 | 2024-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-27 | 2024-01-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-27 | 2024-01-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-27 | 2024-01-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-04 | 2023-12-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-04 | 2023-12-29 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-12-04 | 2023-12-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-29 | 2023-12-29 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-11-29 | 2023-12-29 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-11-29 | 2023-12-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-29 | 2023-10-29 | Y |
| 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 | 2023-09-29 | 2023-10-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-29 | 2023-10-29 | Y |
| Post nurse staffing information every day. | Health | 2023-09-29 | 2023-10-29 | Y |
| 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 | 2023-09-29 | 2023-10-29 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-29 | 2023-10-29 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-09-29 | 2023-10-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-14 | 2023-10-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-14 | 2023-10-01 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-09-14 | 2023-10-01 | 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 | 2023-09-13 | 2023-09-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-11 | 2023-09-27 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-07-11 | 2023-08-08 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-04-21 | 2023-05-18 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-03-09 | 2023-04-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-05 | 2023-01-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-10 | 2022-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-08 | 2022-12-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-13 | 2022-11-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-13 | 2022-11-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-03 | 2022-10-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-03 | 2022-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-16 | 2022-10-27 | Y |
| Post nurse staffing information every day. | Health | 2022-08-15 | 2022-09-14 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-08-15 | 2022-09-14 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-08-11 | 2022-08-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-11 | 2022-08-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-07-05 | 2022-08-14 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-04-28 | 2022-06-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-27 | 2022-05-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-11 | 2022-04-08 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-03-03 | 2022-03-24 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-01-10 | 2022-01-26 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-10-08 | 2021-10-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-06 | 2021-09-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-06 | 2021-09-02 | 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 | 2021-08-06 | 2021-09-02 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-08-06 | 2021-09-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-06 | 2021-09-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-08-06 | 2021-09-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-06 | 2021-09-02 | N |
| 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 | 2021-08-06 | 2021-09-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-06 | 2021-09-02 | 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 | 2021-08-06 | 2021-09-02 | 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 | 2021-08-06 | 2021-09-02 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-08-06 | 2021-09-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-06 | 2021-09-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-06 | 2021-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-09-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-08-06 | 2021-09-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-11 | 2021-08-31 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-08-11 | 2021-08-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-11 | 2021-08-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-11 | 2021-08-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-11 | 2021-08-31 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-03-22 | 2019-04-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-22 | 2019-04-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-03-22 | 2019-04-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-22 | 2019-04-22 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-22 | 2019-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-22 | 2019-04-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-22 | 2019-04-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-22 | 2019-04-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-03-22 | 2019-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-22 | 2019-04-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-22 | 2019-04-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-03-27 | 2019-04-22 | 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 | 2019-03-27 | 2019-04-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-27 | 2019-04-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-27 | 2019-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-27 | 2019-04-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-03-27 | 2019-04-22 | N |
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