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Deficiency Records for Ignite Medical Resort Fort Worth, LLC

A list of the most recent deficiencies for Ignite Medical Resort Fort Worth, LLC. 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 Ignite Medical Resort Fort Worth, LLC. 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?
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2024-09-04 2024-09-30 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-09-04 2024-09-30 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-09-04 2024-09-30 Y
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 2024-09-04 2024-09-30 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-09-04 2024-09-30 Y
Provide and implement an infection prevention and control program. Health 2024-09-04 2024-09-30 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-06-28 2024-08-02 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-03-14 2024-04-15 Y
Provide and implement an infection prevention and control program. Health 2023-10-24 2023-12-01 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-02 2023-11-20 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-11-02 2023-11-20 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-02 2023-11-20 Y
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2023-11-02 2023-11-20 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-09-18 2023-10-15 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-09-18 2023-10-15 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 2023-09-18 2023-10-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-18 2023-10-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-18 2023-10-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-09-18 2023-10-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-18 2023-10-15 Y
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Health 2023-09-18 2023-10-15 Y
Establish policies and procedures including evacuation. Fire Safety 2023-08-23 2023-10-15 N
Establish policies and procedures for medical documentation. Fire Safety 2023-08-23 2023-10-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-08-23 2023-10-15 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 2023-08-23 2023-10-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-23 2023-10-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-08-23 2023-10-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-23 2023-10-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-23 2023-10-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-23 2023-10-15 N
Meet Health Care Facilities Code mechanical requirements. Fire Safety 2023-08-23 2023-10-15 N
Provide and implement an infection prevention and control program. Health 2023-07-07 2023-08-15 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-11 2023-06-16 Y
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 2022-09-22 2022-10-28 Y
Ensure staff are vaccinated for COVID-19 Health 2022-09-22 2022-10-21 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-07-14 2022-08-20 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-07-14 2022-08-20 N
Have an alternate power supply for its alarm system. Fire Safety 2022-07-14 2022-08-20 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2022-07-14 2022-08-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-16 2022-07-29 Y
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 2022-06-16 2022-07-29 Y
Provide and implement an infection prevention and control program. Health 2022-06-16 2022-07-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-26 2022-07-08 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-11-04 2021-11-26 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-11-04 2021-11-26 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-04-15 2021-05-28 N

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