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Deficiency Records for Brickyard Healthcare - Fountainview Care Center
A list of the most recent deficiencies for Brickyard Healthcare - Fountainview 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 Brickyard Healthcare - Fountainview 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2024-08-06 | 2024-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-06 | 2024-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-06 | 2024-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-06 | 2024-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-06 | 2024-08-26 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-07-12 | 2024-08-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-07-12 | 2024-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-12 | 2024-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-12 | 2024-08-09 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-07-12 | 2024-08-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-07-12 | 2024-08-09 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-07-12 | 2024-08-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-12 | 2024-08-09 | 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 | 2024-07-12 | 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 | 2024-07-12 | 2024-08-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-07-12 | 2024-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-12 | 2024-08-09 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-07-12 | 2024-08-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-12 | 2024-08-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-04 | 2024-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-04 | 2024-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-01 | 2023-12-01 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-17 | 2023-08-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-17 | 2023-08-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-17 | 2023-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-17 | 2023-08-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-17 | 2023-08-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-17 | 2023-08-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-17 | 2023-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-17 | 2023-08-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-30 | 2023-08-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-30 | 2023-08-08 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-06-30 | 2023-08-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-30 | 2023-08-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-30 | 2023-08-08 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-30 | 2023-08-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-30 | 2023-08-08 | 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 | 2023-06-30 | 2023-08-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-30 | 2023-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-30 | 2023-08-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-30 | 2023-08-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-06-30 | 2023-08-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-30 | 2023-08-08 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-06-30 | 2023-08-08 | 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 | 2023-06-30 | 2023-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-30 | 2023-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2023-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-06 | 2023-03-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-06 | 2023-03-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-29 | 2022-10-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-29 | 2022-10-28 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-08 | 2022-05-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-05 | 2022-02-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-30 | 2021-09-30 | 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 | 2021-08-30 | 2021-09-30 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2021-08-30 | 2021-09-30 | 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 | 2021-08-30 | 2021-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-30 | 2021-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-30 | 2021-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-30 | 2021-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-30 | 2021-09-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-08-30 | 2021-09-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-06 | 2021-09-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-06 | 2021-09-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-06 | 2021-09-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-06 | 2021-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-06 | 2021-09-05 | 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 | 2021-08-06 | 2021-09-05 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2021-08-06 | 2021-09-05 | N |
| Provide activities to meet all resident's needs. | Health | 2021-08-06 | 2021-09-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-06 | 2021-09-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-06 | 2021-09-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-06 | 2021-09-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-08-06 | 2021-09-05 | N |
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