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Deficiency Records for Franklin Oaks Nursing and Rehabilitation Center
A list of the most recent deficiencies for Franklin Oaks Nursing and Rehabilitation 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 Franklin Oaks Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-05-14 | 2024-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-14 | 2024-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-14 | 2024-07-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-14 | 2024-07-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-14 | 2024-07-12 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-04-18 | 2024-05-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-04-18 | 2024-05-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-18 | 2024-05-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-18 | 2024-05-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-04-18 | 2024-05-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-18 | 2024-05-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-18 | 2024-05-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-18 | 2024-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-18 | 2024-05-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-18 | 2024-05-14 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-07 | 2023-03-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-07 | 2023-03-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-07 | 2023-03-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-12 | 2023-02-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-12 | 2023-02-14 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2023-01-12 | 2023-02-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-12 | 2023-02-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-12 | 2023-02-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-03 | 2022-04-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-03-03 | 2022-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-03 | 2022-04-14 | 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 | 2022-02-04 | 2022-03-15 | 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 | 2022-02-04 | 2022-03-15 | 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 | 2022-02-04 | 2022-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-04 | 2022-03-15 | 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 | 2022-02-04 | 2022-03-15 | Y |
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