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Deficiency Records for The Inn at Freedom Village
A list of the most recent deficiencies for The Inn at Freedom Village. 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 The Inn at Freedom Village. 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 rooms that can be unlocked from inside without a key. | Fire Safety | 2024-07-16 | 2024-08-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-18 | 2024-08-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-18 | 2024-08-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-18 | 2024-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-18 | 2024-08-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-18 | 2024-08-16 | 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 | 2024-07-18 | 2024-08-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-07-18 | 2024-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-08-16 | N |
| Keep all essential equipment working safely. | Health | 2024-07-18 | 2024-08-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-16 | 2024-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-01 | 2022-12-30 | 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 | 2022-05-19 | 2022-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-19 | 2022-06-19 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-02-23 | 2021-03-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-23 | 2021-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-23 | 2021-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-12 | 2021-03-12 | 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 | 2021-02-12 | 2021-03-12 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-02-12 | 2021-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-12 | 2021-03-12 | N |
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