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Deficiency Records for Fox Run Manor
A list of the most recent deficiencies for Fox Run Manor. 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 Fox Run Manor. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-10 | 2024-05-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-10 | 2024-05-03 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-04-10 | 2024-05-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-10 | 2024-05-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-10 | 2024-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-10 | 2024-05-03 | 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 | 2024-04-10 | 2024-05-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-10 | 2024-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-10 | 2024-05-03 | 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 | 2024-04-10 | 2024-05-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-10 | 2024-05-03 | N |
| Post nurse staffing information every day. | Health | 2024-04-10 | 2024-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-10 | 2024-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-10 | 2024-05-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-10 | 2024-05-03 | 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 | 2024-04-01 | 2024-05-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-01 | 2024-05-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-01 | 2024-05-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-04-01 | 2024-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-01 | 2024-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-01 | 2024-05-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-17 | 2023-11-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-13 | 2023-10-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-13 | 2023-10-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-08 | 2023-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-08 | 2023-06-23 | 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 | 2023-06-06 | 2023-06-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-06 | 2023-06-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-06 | 2023-06-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-06 | 2023-06-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-06-06 | 2023-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-03 | 2022-02-18 | 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 | 2020-02-06 | 2020-03-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-06 | 2020-03-14 | 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 | 2020-02-06 | 2020-03-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-06 | 2020-03-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-06 | 2020-03-14 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-02-06 | 2020-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-14 | N |
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