Deficiency Records for John C. Fremont Healthcare District Dp/snf
Updated as of March 01, 2024
A list of the most recent deficiencies for John C. Fremont Healthcare District Dp/snf. 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? |
|---|---|---|---|---|
| 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 | 2022-10-20 | 2022-11-21 | 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 | 2022-10-20 | 2022-11-21 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-24 | 2022-11-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-24 | 2022-11-07 | 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 | 2022-10-24 | 2022-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-24 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-24 | 2022-11-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-24 | 2022-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-24 | 2022-11-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-11 | 2020-01-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-11 | 2020-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-11 | 2020-01-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-15 | 2019-12-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-16 | 2019-01-18 | 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 | 2018-11-16 | 2019-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-16 | 2019-01-18 | 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 | 2018-11-16 | 2019-01-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-12-26 | 2019-01-14 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-12-26 | 2019-01-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-26 | 2019-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-26 | 2019-01-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-26 | 2019-01-14 | N |
