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Deficiency Records for Forestville Healthcare Center
A list of the most recent deficiencies for Forestville Healthcare 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 Forestville Healthcare 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-10 | 2024-09-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-10 | 2024-09-03 | 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 | 2024-06-03 | 2024-08-27 | N |
| Provide activities to meet all resident's needs. | Health | 2024-06-03 | 2024-08-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-03 | 2024-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-03 | 2024-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-03 | 2024-08-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-10 | 2024-08-12 | 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 | 2024-06-10 | 2024-08-12 | N |
| Provide two separate exits in rooms of more than 1000 square feet. | Fire Safety | 2024-06-10 | 2024-08-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-06-10 | 2024-08-12 | 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 | 2024-06-10 | 2024-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-10 | 2024-08-12 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-06-10 | 2024-08-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-10 | 2024-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-10 | 2024-08-12 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-06-03 | 2024-07-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-03 | 2024-07-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-03 | 2024-07-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-03 | 2024-07-18 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-06-03 | 2024-07-18 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-06-03 | 2024-07-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-03 | 2024-07-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-03 | 2024-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-03 | 2024-07-18 | 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 | 2024-06-03 | 2024-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-03 | 2024-07-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-03 | 2024-07-18 | 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 | 2024-06-03 | 2024-07-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-03 | 2024-07-18 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-06-03 | 2024-07-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-03 | 2024-07-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-06-03 | 2024-07-18 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-06-03 | 2024-07-18 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-15 | 2019-08-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-15 | 2019-08-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-06-24 | 2019-08-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-24 | 2019-08-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-24 | 2019-08-08 | 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 | 2019-06-24 | 2019-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-24 | 2019-08-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-24 | 2019-08-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-24 | 2019-08-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-24 | 2019-08-08 | 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 | 2018-03-15 | 2018-04-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-03-15 | 2018-04-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-03-15 | 2018-04-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-14 | 2018-04-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-14 | 2018-04-18 | 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 | 2018-03-14 | 2018-04-18 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-03-14 | 2018-04-18 | 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 | 2018-03-14 | 2018-04-18 | 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 | 2018-03-14 | 2018-04-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-14 | 2018-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-14 | 2018-04-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-14 | 2018-04-18 | N |
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