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Deficiency Records for Fountainbleau Lodge
A list of the most recent deficiencies for Fountainbleau Lodge. 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 Fountainbleau Lodge. 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 implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-08 | 2024-09-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-08 | 2024-09-22 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-08-08 | 2024-09-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-08 | 2024-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-08 | 2024-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-08 | 2024-09-22 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-08 | 2024-09-22 | 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 | 2024-08-08 | 2024-09-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-08 | 2024-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-18 | 2024-06-18 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-10 | 2023-04-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-10 | 2023-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-10 | 2023-03-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-10 | 2023-03-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-10 | 2023-03-23 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-10 | 2023-03-23 | 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 | 2023-03-10 | 2023-03-22 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-03-10 | 2023-03-21 | 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 | 2023-03-10 | 2023-03-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-10 | 2023-03-17 | 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 | 2023-03-10 | 2023-03-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-10 | 2023-03-10 | 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 | 2023-03-10 | 2023-03-10 | N |
| 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 | 2022-06-30 | 2022-06-29 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-19 | 2022-05-10 | 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 | 2021-11-04 | 2021-12-04 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-12-03 | 2021-01-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-12-03 | 2021-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-03 | 2021-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-03 | 2021-01-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-12-03 | 2021-01-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-12-03 | 2021-01-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-12-03 | 2021-01-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-12-03 | 2021-01-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-12-03 | 2021-01-17 | N |
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