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Deficiency Records for Fox Chase Healthcare
A list of the most recent deficiencies for Fox Chase Healthcare. 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 Fox Chase Healthcare. 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 | 2023-09-19 | 2023-10-11 | Y |
| 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 | 2023-03-10 | 2023-06-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-10 | 2023-06-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-10 | 2023-06-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-10 | 2023-06-07 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-03-10 | 2023-06-07 | Y |
| 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 | 2023-06-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-10 | 2023-06-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-06-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-10 | 2023-04-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-10 | 2023-04-06 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-03-10 | 2023-04-06 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-03-10 | 2023-04-06 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-03-10 | 2023-04-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-24 | 2022-10-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-24 | 2022-10-07 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2022-08-24 | 2022-10-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-24 | 2022-10-07 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-24 | 2022-10-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-13 | 2022-03-09 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-13 | 2022-03-09 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-13 | 2022-03-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-17 | 2020-03-02 | 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 | 2020-01-17 | 2020-03-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-17 | 2020-03-02 | 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 | 2020-01-17 | 2020-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-17 | 2020-03-02 | 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 | 2020-01-17 | 2020-03-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-17 | 2020-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-17 | 2020-03-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-01-17 | 2020-03-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-01-17 | 2020-03-02 | 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 | 2020-01-17 | 2020-03-02 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-01-17 | 2020-03-02 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-01-17 | 2020-03-02 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2020-01-17 | 2020-03-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-01-17 | 2020-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-17 | 2020-03-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-17 | 2020-03-02 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2020-01-17 | 2020-03-02 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2020-01-17 | 2020-03-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-16 | 2020-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-16 | 2020-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-16 | 2020-01-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-01-16 | 2020-01-31 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-01-16 | 2020-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-16 | 2020-01-31 | N |
| Meet other general requirements. | Fire Safety | 2019-01-23 | 2019-03-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-01-23 | 2019-03-01 | 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 | 2019-01-18 | 2019-02-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-18 | 2019-02-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-18 | 2019-02-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-18 | 2019-02-22 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-01-18 | 2019-02-22 | 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 | 2019-01-18 | 2019-02-22 | 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 | 2018-01-24 | 2018-03-12 | 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 | 2018-01-24 | 2018-03-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-01-24 | 2018-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-24 | 2018-03-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-24 | 2018-03-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-24 | 2018-03-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-01-24 | 2018-03-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-24 | 2018-03-12 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-01-08 | 2018-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-08 | 2018-02-28 | 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 | 2018-01-08 | 2018-02-28 | 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 | 2018-01-08 | 2018-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-01-08 | 2018-02-28 | 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 | 2018-01-08 | 2018-02-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-08 | 2018-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-08 | 2018-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-08 | 2018-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-01-08 | 2018-02-28 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-01-08 | 2018-02-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-01-08 | 2018-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-08 | 2018-02-28 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-01-08 | 2018-02-28 | N |
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