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Deficiency Records for Future Care Cold Spring
A list of the most recent deficiencies for Future Care Cold Spring. 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 Future Care Cold Spring. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-21 | 2024-05-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-03-21 | 2024-05-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-03-21 | 2024-05-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-21 | 2024-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-21 | 2024-05-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-21 | 2024-05-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-03-21 | 2024-05-30 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-03-21 | 2024-05-30 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2024-03-21 | 2024-05-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-03-21 | 2024-05-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-21 | 2024-05-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-14 | 2024-04-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-14 | 2024-04-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-14 | 2024-04-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-14 | 2024-04-28 | Y |
| 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 | 2024-03-14 | 2024-04-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-14 | 2024-04-28 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-03-14 | 2024-04-28 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-14 | 2024-04-28 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-14 | 2024-04-28 | 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 | 2024-03-14 | 2024-04-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-14 | 2024-04-28 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-03-14 | 2024-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-14 | 2024-04-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-14 | 2024-04-28 | 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 | 2024-03-14 | 2024-04-28 | N |
| Post nurse staffing information every day. | Health | 2024-03-14 | 2024-04-28 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-14 | 2024-04-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-14 | 2024-04-28 | 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 | 2024-03-14 | 2024-04-28 | 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 | 2024-03-14 | 2024-04-28 | 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 | 2024-03-14 | 2024-04-28 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-03-14 | 2024-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-14 | 2024-04-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-14 | 2024-04-28 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-03-14 | 2024-04-28 | N |
| Keep all essential equipment working safely. | Health | 2024-03-14 | 2024-04-28 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-03-14 | 2024-04-28 | 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 | 2024-03-14 | 2024-04-28 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-03-14 | 2024-04-28 | 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 | 2024-03-14 | 2024-04-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-14 | 2024-04-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-14 | 2024-04-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-14 | 2024-04-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-14 | 2024-04-28 | Y |
| 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 | 2024-03-14 | 2024-04-28 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-14 | 2024-04-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-14 | 2024-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-14 | 2022-05-01 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-22 | 2019-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-22 | 2019-06-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-22 | 2019-06-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-05-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-21 | 2019-05-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-21 | 2019-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-05-22 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-03-21 | 2019-05-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-03-21 | 2019-05-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-05-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-21 | 2019-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-21 | 2019-05-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-21 | 2019-05-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-21 | 2019-05-22 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-03-21 | 2019-05-22 | 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 | 2019-03-21 | 2019-05-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-21 | 2019-05-22 | N |
| Dispose of garbage and refuse properly. | Health | 2019-03-21 | 2019-05-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-21 | 2019-05-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-12-07 | 2018-02-20 | 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 | 2017-12-07 | 2018-02-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-12-07 | 2018-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-07 | 2018-02-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-12-07 | 2018-02-20 | N |
| Have an externally vented heating system. | Fire Safety | 2017-12-07 | 2018-02-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-12-07 | 2018-02-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-23 | 2017-11-30 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-10-23 | 2017-11-30 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-23 | 2017-11-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-23 | 2017-11-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-23 | 2017-11-30 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-10-23 | 2017-11-30 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-10-23 | 2017-11-30 | N |
| Provide or obtain dental services for each resident. | Health | 2017-10-23 | 2017-11-30 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-10-23 | 2017-11-30 | N |
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