Deficiency Records for Fianna Hills Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Fianna Hills Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-28 | 2023-06-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-28 | 2023-06-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-28 | 2023-06-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-28 | 2023-06-01 | 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 | 2023-04-28 | 2023-06-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-28 | 2023-06-01 | 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 | 2023-04-28 | 2023-06-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-28 | 2023-06-01 | 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 | 2023-04-28 | 2023-06-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-04-28 | 2023-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-28 | 2023-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-28 | 2023-06-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-28 | 2023-06-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-04-27 | 2023-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-27 | 2023-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-27 | 2023-06-01 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-04-28 | 2023-04-28 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-28 | 2023-04-28 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-09-24 | 2021-10-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-24 | 2021-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-24 | 2021-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-24 | 2021-10-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-24 | 2021-10-14 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-09-24 | 2021-10-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-06 | 2020-04-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-03-06 | 2020-04-03 | 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 | 2020-03-06 | 2020-04-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-06 | 2020-04-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-03-06 | 2020-04-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-03-06 | 2020-04-03 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2020-03-06 | 2020-04-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-06 | 2020-04-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-06 | 2020-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-06 | 2020-04-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-06 | 2020-04-03 | 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 | 2020-03-06 | 2020-04-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-03-06 | 2020-04-03 | 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 | 2020-03-06 | 2020-04-03 | 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 | 2020-03-06 | 2020-04-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-06 | 2020-04-03 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-03-06 | 2020-04-03 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-03-06 | 2020-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-06 | 2020-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-06 | 2020-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-03 | 2020-04-03 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-03-06 | 2020-03-06 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2020-03-06 | 2020-03-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-06 | 2020-03-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-03-06 | 2020-03-06 | N |
