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Deficiency Records for Wellbridge of Fenton
A list of the most recent deficiencies for Wellbridge of Fenton. 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 Wellbridge of Fenton. 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 each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-13 | 2024-04-01 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-12-06 | 2024-01-10 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2023-12-06 | 2024-01-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-06 | 2024-01-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-06 | 2024-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2024-01-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-12-06 | 2024-01-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-06 | 2024-01-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-06 | 2024-01-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-06 | 2024-01-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-06 | 2024-01-10 | 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 | 2023-12-06 | 2024-01-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-06 | 2024-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-06 | 2024-01-10 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-09 | 2023-07-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-09 | 2023-07-10 | Y |
| 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 | 2023-06-09 | 2023-07-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-07-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-30 | 2022-09-23 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-29 | 2022-07-28 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-06-29 | 2022-07-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-29 | 2022-07-28 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-06-29 | 2022-07-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-29 | 2022-07-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-29 | 2022-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-07-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-06-29 | 2022-07-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-29 | 2022-07-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-29 | 2022-07-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-29 | 2022-07-28 | 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 | 2022-06-29 | 2022-07-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-29 | 2022-07-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-06-29 | 2022-07-28 | 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 | 2022-06-29 | 2022-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-29 | 2022-07-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-19 | 2022-02-10 | Y |
| 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 | 2021-11-19 | 2022-02-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-19 | 2022-02-10 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-11-19 | 2021-12-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-19 | 2021-12-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-19 | 2021-12-21 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-11-19 | 2021-12-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2021-12-21 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-11-19 | 2021-12-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-07-01 | 2021-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-01 | 2021-07-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-01 | 2021-07-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-07-01 | 2021-07-22 | 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 | 2021-07-01 | 2021-07-22 | N |
| Post nurse staffing information every day. | Health | 2021-07-01 | 2021-07-22 | 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 | 2021-07-01 | 2021-07-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-01 | 2021-07-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-01 | 2021-07-22 | 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 | 2021-07-01 | 2021-07-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-01 | 2021-07-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-01 | 2021-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-23 | 2021-07-22 | N |
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