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Deficiency Records for Flannery Oaks Guest House
A list of the most recent deficiencies for Flannery Oaks Guest House. 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 Flannery Oaks Guest House. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-16 | 2024-06-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-05-16 | 2024-06-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-16 | 2024-06-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-16 | 2024-06-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-16 | 2024-06-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-16 | 2024-06-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-16 | 2024-06-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-16 | 2024-06-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-16 | 2024-06-26 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-16 | 2024-06-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-05-16 | 2024-06-26 | 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 | 2024-05-16 | 2024-06-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-16 | 2024-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-06-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-16 | 2024-06-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-27 | 2023-05-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-27 | 2023-05-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-27 | 2023-05-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-23 | 2023-03-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-23 | 2023-03-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-05 | 2023-02-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-27 | 2022-06-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-27 | 2022-06-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-27 | 2022-06-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-04-27 | 2022-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-27 | 2022-06-03 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-27 | 2022-06-03 | N |
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