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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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