A list of the most recent deficiencies for Freedom Plaza Care 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-12 | 2022-01-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-12 | 2022-01-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-12 | 2022-01-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-12 | 2022-01-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-12 | 2022-01-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-12 | 2022-01-03 | N |
| Post nurse staffing information every day. | Health | 2021-11-12 | 2022-01-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-12 | 2022-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-12 | 2022-01-03 | N |
| Report COVID19 data to residents and families. | Health | 2021-11-12 | 2022-01-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-12 | 2022-01-03 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-11-12 | 2022-01-03 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-11-12 | 2022-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-12 | 2022-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-12 | 2022-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-12 | 2022-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-12 | 2022-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-12 | 2022-01-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-12 | 2022-01-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-09 | 2019-09-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-09 | 2019-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-09 | 2019-09-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-07 | 2019-09-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-07 | 2019-08-07 | N |
