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Deficiency Records for Fulton Manor Care Center
A list of the most recent deficiencies for Fulton Manor Care Center. 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 Manor Care Center. 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 | 2024-04-16 | 2024-04-19 | Y |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-02-09 | 2024-03-29 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-02-09 | 2024-03-29 | 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 | 2024-02-09 | 2024-03-29 | N |
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 | 2024-02-09 | 2024-03-29 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-03-29 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-09 | 2024-03-29 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-09 | 2024-03-29 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-09 | 2024-03-29 | 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 | 2024-02-09 | 2024-03-29 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-02-09 | 2024-03-29 | N |
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 | 2024-02-09 | 2024-03-29 | N |
Post nurse staffing information every day. | Health | 2024-02-09 | 2024-03-29 | 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 | 2024-02-09 | 2024-03-29 | 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 | 2024-02-09 | 2024-03-29 | 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 | 2024-02-09 | 2024-03-29 | 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 | 2024-02-09 | 2024-03-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-03-29 | N |
Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-03-29 | N |
Implement a program that monitors antibiotic use. | Health | 2024-02-09 | 2024-03-29 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-09 | 2024-03-29 | Y |
Establish staff and initial training requirements. | Fire Safety | 2024-02-09 | 2024-03-29 | N |
Use approved construction type or materials. | Fire Safety | 2024-02-09 | 2024-03-29 | 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 | 2024-02-09 | 2024-03-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-09 | 2024-03-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-09 | 2024-03-29 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-09 | 2024-03-29 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-02-09 | 2024-03-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-16 | 2023-04-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-16 | 2023-01-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-16 | 2023-01-30 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-16 | 2023-01-30 | 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 | 2022-12-16 | 2023-01-30 | 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 | 2022-12-16 | 2023-01-30 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-16 | 2023-01-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-16 | 2023-01-13 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-16 | 2023-01-10 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-16 | 2023-01-10 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-16 | 2023-01-06 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-16 | 2022-12-28 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-16 | 2022-12-20 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-29 | 2019-09-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-29 | 2019-09-18 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-29 | 2019-09-16 | N |
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