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Deficiency Records for Forest Creek Village
A list of the most recent deficiencies for Forest Creek 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 Forest Creek 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? |
|---|---|---|---|---|
| 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 | 2024-02-27 | 2024-03-22 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-02-27 | 2024-03-22 | 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 | 2024-02-27 | 2024-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-27 | 2024-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-27 | 2024-03-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-27 | 2024-03-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-27 | 2024-03-22 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-02-15 | 2024-03-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-15 | 2024-03-07 | N |
| Post nurse staffing information every day. | Health | 2024-02-15 | 2024-03-07 | 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 | 2024-02-15 | 2024-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-15 | 2024-03-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-15 | 2024-03-07 | 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 | 2024-02-15 | 2024-03-07 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-27 | 2023-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-27 | 2023-04-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-27 | 2023-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-27 | 2023-04-25 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-07 | 2023-04-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-10 | 2023-04-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-10 | 2023-04-18 | 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 | 2023-03-10 | 2023-04-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-10 | 2023-04-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-28 | 2023-01-19 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-13 | 2022-07-12 | 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 | 2022-06-13 | 2022-07-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-13 | 2022-07-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-06-13 | 2022-07-12 | 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 | 2022-06-13 | 2022-07-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-13 | 2022-07-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-13 | 2022-07-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-13 | 2022-07-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-13 | 2022-07-12 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-06-13 | 2022-07-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-13 | 2022-07-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-13 | 2022-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-13 | 2022-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-13 | 2022-07-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-29 | 2022-05-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-29 | 2022-05-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-29 | 2022-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-29 | 2022-05-24 | N |
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