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Deficiency Records for Fall River Jewish Home
A list of the most recent deficiencies for Fall River Jewish Home. 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 Fall River Jewish Home. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-02 | 2024-07-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-07-02 | 2024-07-16 | N |
| Develop a communication plan. | Fire Safety | 2024-07-02 | 2024-07-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-02 | 2024-07-16 | 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 | 2024-07-02 | 2024-07-16 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-06-13 | 2024-07-05 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-06-13 | 2024-07-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-13 | 2024-07-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-06-13 | 2024-07-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-13 | 2024-07-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-13 | 2024-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-13 | 2024-07-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-13 | 2024-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-13 | 2024-07-05 | 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 | 2024-06-13 | 2024-07-05 | 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 | 2024-06-13 | 2024-07-05 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-06-13 | 2024-07-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-13 | 2024-07-05 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-06-13 | 2024-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-07-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-13 | 2024-07-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-13 | 2024-07-05 | 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 | 2024-06-13 | 2024-06-27 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-06 | 2024-04-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-20 | 2024-04-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-20 | 2024-04-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-19 | 2024-01-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-19 | 2024-01-19 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-10-30 | 2023-12-15 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-02-23 | 2023-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-23 | 2023-05-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-23 | 2023-05-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-23 | 2023-05-15 | N |
| Keep all essential equipment working safely. | Health | 2023-02-23 | 2023-05-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-23 | 2023-03-28 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-02-23 | 2023-03-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-23 | 2023-03-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-23 | 2023-03-24 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-23 | 2023-03-24 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-02-23 | 2023-03-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-23 | 2023-03-24 | 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 | 2023-02-23 | 2023-03-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-02-23 | 2023-03-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-23 | 2023-03-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-23 | 2023-03-24 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-02-23 | 2023-03-24 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-02-23 | 2023-03-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-02-23 | 2023-03-24 | 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 | 2023-02-23 | 2023-03-24 | 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 | 2023-02-23 | 2023-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-23 | 2023-03-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-02-23 | 2023-03-24 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-02-23 | 2023-03-24 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2023-02-23 | 2023-03-24 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-02-23 | 2023-03-24 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-02-23 | 2023-03-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-02-23 | 2023-03-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-23 | 2023-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-23 | 2023-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-08 | 2023-03-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-23 | 2023-02-24 | N |
| Report COVID19 data to residents and families. | Health | 2023-02-23 | 2023-02-24 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2023-02-23 | 2023-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-29 | 2022-04-27 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-23 | 2020-02-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-01-23 | 2020-02-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-23 | 2020-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-23 | 2020-01-30 | N |
| Provide appropriate foot care. | Health | 2019-11-27 | 2020-01-06 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-11-27 | 2020-01-06 | N |
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