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Deficiency Records for Froh Community Home
A list of the most recent deficiencies for Froh Community 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 Froh Community 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-06 | 2024-08-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-06 | 2024-06-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-06 | 2024-06-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-06 | 2024-06-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-06 | 2024-06-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-06 | 2024-06-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-02 | 2024-06-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-02 | 2024-06-10 | 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 | 2024-05-02 | 2024-06-10 | 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 | 2024-05-02 | 2024-06-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-02 | 2024-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-02 | 2024-06-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-02 | 2024-06-10 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-07-31 | 2024-03-08 | N |
| Meet other general requirements. | Fire Safety | 2024-01-30 | 2024-02-16 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-30 | 2024-02-16 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-01-30 | 2024-02-16 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-01-30 | 2024-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-02 | 2023-08-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-02 | 2023-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-02 | 2023-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-02 | 2023-08-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-02 | 2023-08-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-02 | 2023-08-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-02 | 2023-08-25 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-08-02 | 2023-08-25 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-31 | 2023-08-25 | 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 | 2023-07-31 | 2023-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-31 | 2023-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-31 | 2023-08-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-31 | 2023-08-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-31 | 2023-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-31 | 2023-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-31 | 2023-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-22 | 2022-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-09-26 | 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 | 2022-08-22 | 2022-09-26 | 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 | 2022-08-22 | 2022-09-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-22 | 2022-09-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-22 | 2022-09-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-22 | 2022-09-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-22 | 2022-09-26 | N |
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