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Deficiency Records for The Foley Center at Chestnut Ridge
A list of the most recent deficiencies for The Foley Center at Chestnut Ridge. 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 Foley Center at Chestnut Ridge. 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? |
|---|---|---|---|---|
| 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 | 2024-07-03 | 2024-07-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-03 | 2024-07-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-03 | 2024-07-16 | 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 | 2024-07-03 | 2024-07-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-03 | 2024-07-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-03 | 2024-07-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-03 | 2024-07-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-03 | 2024-07-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-03 | 2024-07-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-03 | 2024-07-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-03 | 2024-07-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-03 | 2024-07-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-03 | 2024-07-16 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-03 | 2024-07-16 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-03 | 2024-07-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-03 | 2024-07-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-03 | 2024-07-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-03 | 2024-07-04 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-10 | 2023-05-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-07-29 | 2021-09-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-29 | 2021-09-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-07-09 | 2019-07-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-09 | 2019-07-25 | N |
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