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Deficiency Records for Hamilton Trace of Fishers
A list of the most recent deficiencies for Hamilton Trace of Fishers. 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 Hamilton Trace of Fishers. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-05 | 2024-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-05 | 2024-05-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-05 | 2024-05-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-08 | 2024-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-08 | 2024-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-08 | 2024-03-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-08 | 2024-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-08-19 | Y |
| 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 | 2022-11-22 | 2023-01-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-22 | 2023-01-06 | N |
| Provide activities to meet all resident's needs. | Health | 2022-11-22 | 2023-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-22 | 2023-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-22 | 2023-01-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-22 | 2023-01-06 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-12-12 | 2022-12-28 | 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 | 2022-12-12 | 2022-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-12-12 | 2022-12-28 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-07-22 | 2019-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-22 | 2019-09-10 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-20 | 2019-07-16 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-06-20 | 2019-07-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-20 | 2019-07-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-06-20 | 2019-07-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-20 | 2019-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-20 | 2019-07-16 | 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 | 2019-06-20 | 2019-07-16 | 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 | 2019-06-20 | 2019-07-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-20 | 2019-07-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-20 | 2019-07-16 | N |
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