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Deficiency Records for Four Seasons Rehabilitation and Care

A list of the most recent deficiencies for Four Seasons Rehabilitation and Care. 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 Four Seasons Rehabilitation and Care. 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?
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-04-03 2024-04-26 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 2024-04-03 2024-04-26 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-04-03 2024-04-26 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-01-29 2024-03-15 N
Respond appropriately to all alleged violations. Health 2024-01-29 2024-03-15 N
Assess the resident when there is a significant change in condition Health 2024-01-29 2024-03-15 N
Ensure each resident receives an accurate assessment. Health 2024-01-29 2024-03-15 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-01-29 2024-03-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-01-29 2024-03-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-29 2024-03-15 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 2024-01-29 2024-03-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-29 2024-03-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-29 2024-03-15 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 2024-01-29 2024-03-15 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-01-29 2024-03-15 N
Ensure that residents are free from significant medication errors. Health 2024-01-29 2024-03-15 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-01-29 2024-03-15 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 2024-01-29 2024-03-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-29 2024-03-15 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2024-01-29 2024-03-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-11 2023-11-10 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-10-11 2023-11-10 Y
Keep residents' personal and medical records private and confidential. Health 2023-10-11 2023-08-21 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 2023-05-24 2023-07-07 Y
Ensure each resident receives an accurate assessment. Health 2023-05-24 2023-07-07 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-24 2023-07-07 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-10-28 2022-11-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-28 2022-11-21 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-10-28 2022-11-21 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-10-25 2022-11-21 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-10-25 2022-11-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-06-10 2021-07-10 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2021-06-10 2021-07-10 N
Ensure that residents are free from significant medication errors. Health 2021-06-10 2021-07-10 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2021-06-10 2021-07-10 N

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