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Deficiency Records for Fulton Nursing and Rehab
A list of the most recent deficiencies for Fulton Nursing and Rehab. 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 Fulton Nursing and Rehab. 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? |
|---|---|---|---|---|
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-05-02 | 2024-06-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-02 | 2024-06-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-05-02 | 2024-06-10 | 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 | 2024-05-02 | 2024-06-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-02 | 2024-06-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-05-02 | 2024-06-10 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-05-02 | 2024-06-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-02 | 2024-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-02 | 2024-06-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-02 | 2024-06-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-02 | 2024-06-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 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 |
| 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 | 2024-05-02 | 2024-06-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | 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 |
| 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 | 2024-05-02 | 2024-06-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-05-02 | 2024-06-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-05-02 | 2024-06-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-02 | 2024-06-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-02 | 2024-06-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-02 | 2024-06-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-02 | 2024-06-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-21 | 2024-04-02 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-10-24 | 2023-12-04 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-23 | 2023-06-23 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-04-13 | 2023-05-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-13 | 2023-05-23 | 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 | 2023-04-13 | 2023-05-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-13 | 2023-05-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-05-23 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-04-13 | 2023-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-13 | 2023-05-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-13 | 2023-05-23 | N |
| Post nurse staffing information every day. | Health | 2023-04-13 | 2023-05-23 | 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 | 2023-04-13 | 2023-05-23 | 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 | 2023-04-13 | 2023-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-04-13 | 2023-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-04-13 | 2023-05-23 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2021-05-12 | 2021-06-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-12 | 2021-06-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-12 | 2021-06-13 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-12 | 2021-06-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-12 | 2021-06-13 | 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 | 2021-05-12 | 2021-06-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-12 | 2021-06-13 | N |
| 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 | 2021-05-12 | 2021-06-13 | N |
| Meet other general requirements. | Fire Safety | 2021-05-12 | 2021-06-13 | 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 | 2021-05-12 | 2021-06-13 | 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 | 2021-05-12 | 2021-06-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-05-12 | 2021-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-12 | 2021-06-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-12 | 2021-06-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-12 | 2021-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-12 | 2021-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-12 | 2021-06-11 | N |
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