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Deficiency Records for The Inn at Freedom Village
A list of the most recent deficiencies for The Inn at Freedom Village. 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 The Inn at Freedom Village. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-21 | 2024-04-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-21 | 2024-04-01 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-02-21 | 2024-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-21 | 2024-04-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-09 | 2023-09-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-09 | 2023-09-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-02-23 | 2023-04-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-23 | 2023-04-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-23 | 2023-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-23 | 2023-04-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-22 | 2022-12-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-22 | 2022-12-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-22 | 2022-12-31 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-29 | 2022-05-13 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-09 | 2022-01-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-10 | 2022-01-12 | 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 | 2021-12-10 | 2022-01-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-10 | 2022-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-10 | 2022-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-10 | 2022-01-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2022-01-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-10 | 2022-01-12 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-09 | 2021-12-21 | N |
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