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Deficiency Records for Fresh River Healthcare

A list of the most recent deficiencies for Fresh River Healthcare. 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 Fresh River Healthcare. 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?
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-08-18 2023-10-09 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 2023-08-18 2023-10-09 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-08-18 2023-10-09 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 2023-08-18 2023-10-09 N
Provide and implement an infection prevention and control program. Health 2023-08-18 2023-10-09 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-08-18 2023-10-09 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-18 2023-10-09 Y
Establish staff and initial training requirements. Fire Safety 2023-08-15 2023-09-26 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-08-15 2023-09-26 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 2023-08-15 2023-09-26 N
Provide properly protected cooking facilities. Fire Safety 2023-08-15 2023-09-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-08-15 2023-09-26 N
Install an approved automatic sprinkler system. Fire Safety 2023-08-15 2023-09-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-15 2023-09-26 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-08-15 2023-09-26 N
Meet other general requirements that are deficient. Fire Safety 2023-08-15 2023-09-26 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-08-15 2023-09-26 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2023-08-15 2023-09-26 N
Provide a written emergency evacuation plan. Fire Safety 2023-08-15 2023-09-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-15 2023-09-26 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-05-25 2022-05-26 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-25 2022-05-26 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-06-09 2021-08-12 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 2021-06-09 2021-08-12 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 2021-06-09 2021-08-12 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-06-09 2021-08-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-06-09 2021-08-12 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2021-06-09 2021-08-12 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2021-06-28 2021-07-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-28 2021-07-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-06-28 2021-06-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-06-28 2021-06-30 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2019-03-12 2019-05-21 N
Establish emergency prep training and testing. Fire Safety 2019-03-12 2019-05-21 N
Establish staff and initial training requirements. Fire Safety 2019-03-12 2019-05-21 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-03-12 2019-05-21 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2019-03-12 2019-05-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-03-12 2019-05-21 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-03-12 2019-05-21 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2019-03-12 2019-05-21 N
Provide and implement an infection prevention and control program. Health 2019-03-13 2019-04-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-03-13 2019-04-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-03-13 2019-04-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-03-13 2019-04-24 N

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