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Deficiency Records for The Fountains

A list of the most recent deficiencies for The Fountains. 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 Fountains. 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?
Meet requirements for the use of electrical equipment. Fire Safety 2024-04-16 2024-05-14 Y
Keep residents' personal and medical records private and confidential. Health 2023-04-20 2023-05-19 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-04-20 2023-05-19 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 2023-04-20 2023-05-19 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 2023-04-20 2023-05-19 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-04-20 2023-05-19 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 2023-04-20 2023-05-19 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-04-20 2023-05-19 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-04-20 2023-05-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-20 2023-05-19 N
Keep all essential equipment working safely. Health 2023-04-20 2023-05-19 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-04-20 2023-05-19 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-04-20 2023-05-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-24 2023-05-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-04-24 2023-05-01 N
Provide a written emergency evacuation plan. Fire Safety 2023-04-24 2023-05-01 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-04-24 2023-05-01 N
Respond appropriately to all alleged violations. Health 2023-03-23 2023-04-17 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-09-07 2022-09-21 Y
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2021-05-06 2021-06-03 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 2021-05-06 2021-06-03 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-05-06 2021-06-03 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-05-06 2021-06-03 N
Respond appropriately to all alleged violations. Health 2021-05-06 2021-06-03 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 2021-05-06 2021-06-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-06 2021-06-03 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 2021-05-06 2021-06-03 N
Provide routine and 24-hour emergency dental care for each resident. Health 2021-05-06 2021-06-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-06 2021-06-03 N
Provide and implement an infection prevention and control program. Health 2021-05-06 2021-06-03 N
Provide family notifications of emergency plan. Fire Safety 2021-05-12 2021-05-27 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 2021-05-12 2021-05-27 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-05-12 2021-05-27 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2021-05-12 2021-05-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-05-12 2021-05-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-12 2021-05-27 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-05-12 2021-05-27 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 2019-08-24 2019-10-16 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 2019-08-24 2019-10-16 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-08-24 2019-10-16 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-08-24 2019-10-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-08-29 2019-09-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-08-29 2019-09-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-08-29 2019-09-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-08-29 2019-09-16 N

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