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Deficiency Records for Franklin Woods Center
A list of the most recent deficiencies for Franklin Woods 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 Franklin Woods 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-18 | 2021-09-29 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-18 | 2021-09-29 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-18 | 2021-09-29 | 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 | 2021-08-18 | 2021-09-29 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-18 | 2021-09-29 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-18 | 2021-09-29 | 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 | 2021-08-18 | 2021-09-29 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-18 | 2021-09-29 | 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 | 2021-08-18 | 2021-09-29 | N |
Provide activities to meet all resident's needs. | Health | 2021-08-18 | 2021-09-29 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-18 | 2021-09-29 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-18 | 2021-09-29 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2021-08-18 | 2021-09-29 | 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 | 2021-08-18 | 2021-09-29 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-08-18 | 2021-09-29 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-18 | 2021-09-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-18 | 2021-09-29 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-17 | 2021-09-17 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-09-11 | 2018-12-07 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2018-09-11 | 2018-12-07 | 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 | 2018-09-11 | 2018-12-07 | N |
Respond appropriately to all alleged violations. | Health | 2018-09-11 | 2018-12-07 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-11 | 2018-12-07 | 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 | 2018-09-11 | 2018-12-07 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-09-11 | 2018-12-07 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-11 | 2018-12-07 | 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 | 2018-09-11 | 2018-12-07 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-11 | 2018-12-07 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-09-11 | 2018-12-07 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-11 | 2018-12-07 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-11 | 2018-12-07 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-11 | 2018-12-07 | 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 | 2018-09-11 | 2018-12-07 | 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 | 2018-09-11 | 2018-12-07 | 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 | 2018-09-11 | 2018-12-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-11 | 2018-12-07 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-11 | 2018-12-07 | N |
Provide and implement an infection prevention and control program. | Health | 2018-09-11 | 2018-12-07 | N |
Implement a program that monitors antibiotic use. | Health | 2018-09-11 | 2018-12-07 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-30 | 2018-10-12 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-08-30 | 2018-10-12 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2018-08-30 | 2018-10-12 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-30 | 2018-10-12 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-01 | 2017-07-30 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-01 | 2017-07-30 | N |
Provide timely notification to the resident before transfer or discharge. | Health | 2017-06-01 | 2017-07-28 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-01 | 2017-07-28 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2017-06-01 | 2017-07-28 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-01 | 2017-07-28 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-01 | 2017-07-28 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-01 | 2017-07-28 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-01 | 2017-07-28 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-06-01 | 2017-07-28 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-01 | 2017-07-28 | N |
Provide written records when a resident is transferred or discharged. | Health | 2017-06-01 | 2017-07-14 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-06-01 | 2017-07-14 | 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 | 2017-06-05 | 2017-07-14 | 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 | 2017-06-05 | 2017-07-14 | N |
Provide properly protected cooking facilities. | Fire Safety | 2017-06-05 | 2017-07-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-05 | 2017-07-14 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-05 | 2017-07-14 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2017-06-05 | 2017-07-14 | N |
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