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Deficiency Records for Thrive of Fox Valley
A list of the most recent deficiencies for Thrive of Fox Valley. 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 Thrive of Fox Valley. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-08 | 2024-10-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-26 | 2024-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-26 | 2024-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-26 | 2024-08-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-26 | 2024-08-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-26 | 2024-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-26 | 2024-08-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-08 | 2024-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-08 | 2024-08-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-08 | 2024-08-19 | 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 | 2024-08-08 | 2024-08-19 | 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 | 2024-08-08 | 2024-08-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-08 | 2024-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-08 | 2024-08-19 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-05-28 | 2024-06-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-02 | 2023-11-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-24 | 2023-11-15 | Y |
| Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. | Fire Safety | 2023-08-30 | 2023-11-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-30 | 2023-09-15 | 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 | 2023-08-30 | 2023-09-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-30 | 2023-09-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-30 | 2023-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-30 | 2023-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-30 | 2023-09-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-30 | 2023-09-15 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-08-30 | 2023-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-30 | 2023-09-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-24 | 2023-09-13 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-08-24 | 2023-09-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-24 | 2023-09-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-24 | 2023-09-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-24 | 2023-09-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-08-24 | 2023-09-13 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-06-28 | 2023-07-07 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-20 | 2022-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-20 | 2022-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-20 | 2022-11-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-20 | 2022-11-22 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-10-20 | 2022-11-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-10-20 | 2022-11-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-20 | 2022-11-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-20 | 2022-11-18 | 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 | 2022-10-20 | 2022-11-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-20 | 2022-11-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-10-20 | 2022-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-20 | 2022-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-20 | 2022-11-18 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-10-20 | 2022-11-18 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2022-10-20 | 2022-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-20 | 2022-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-14 | 2022-11-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-20 | 2022-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-14 | 2022-10-28 | N |
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