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Deficiency Records for Four Chaplains Nrsg Care Ctr
A list of the most recent deficiencies for Four Chaplains Nrsg Care Ctr. 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 Four Chaplains Nrsg Care Ctr. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-05 | 2024-12-27 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-12-05 | 2024-12-27 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-12-05 | 2024-12-27 | 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 | 2024-12-05 | 2024-12-27 | Y |
| Provide appropriate foot care. | Health | 2024-12-05 | 2024-12-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-12-05 | 2024-12-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-05 | 2024-12-27 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-12-05 | 2024-12-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-12-05 | 2024-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-05 | 2024-12-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-05 | 2024-12-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-12-05 | 2024-12-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-12-05 | 2024-12-27 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-12-05 | 2024-12-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-05 | 2024-09-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-26 | 2024-07-08 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-01-25 | 2024-01-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-09 | 2024-01-22 | 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 | 2023-10-18 | 2023-11-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-18 | 2023-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-18 | 2023-11-08 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-10-18 | 2023-11-08 | 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 | 2023-10-18 | 2023-11-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-18 | 2023-11-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-16 | 2023-11-08 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-05-03 | 2023-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-18 | 2022-09-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-18 | 2022-09-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-18 | 2022-09-15 | Y |
| 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 | 2022-08-18 | 2022-09-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-18 | 2022-09-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-18 | 2022-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-18 | 2022-09-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-02 | 2022-03-07 | Y |
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