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Deficiency Records for Forest Street Compassionate Care Center
A list of the most recent deficiencies for Forest Street Compassionate Care 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 Forest Street Compassionate Care 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? |
|---|---|---|---|---|
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-08-14 | 2024-09-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-14 | 2024-09-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-14 | 2024-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-14 | 2024-09-15 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-07-16 | 2024-08-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-16 | 2024-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-16 | 2024-08-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-07-16 | 2024-08-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-16 | 2024-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-16 | 2024-08-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-16 | 2024-08-09 | 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 | 2024-07-16 | 2024-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-16 | 2024-08-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-16 | 2024-08-09 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-07-16 | 2024-08-09 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-07-16 | 2024-08-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-16 | 2024-08-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-30 | 2024-01-10 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-11-30 | 2024-01-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-02 | 2023-03-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-02 | 2023-03-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-02 | 2023-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-03-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-02 | 2023-03-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-23 | 2022-01-18 | 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 | 2021-12-23 | 2022-01-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-23 | 2022-01-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-23 | 2022-01-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-23 | 2022-01-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-02 | 2021-12-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-02 | 2021-12-31 | 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 | 2021-12-02 | 2021-12-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-02 | 2021-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-02 | 2021-12-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-12-02 | 2021-12-31 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-12-02 | 2021-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-23 | 2021-12-23 | N |
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