Deficiency Records for Fox Chase Healthcare
Updated as of August 01, 2024
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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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