CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Foundation Skilled Nursing
View the most recent health deficiencies and inspection results for Foundation Skilled Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Foundation Skilled Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-03-02 | 2026-03-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-09 | 2026-01-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-09 | 2026-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-09 | 2026-01-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-09 | 2026-01-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-12-09 | 2026-01-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-12-09 | 2026-01-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-12-09 | 2026-01-02 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-09 | 2026-01-02 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-12-09 | 2026-01-02 | 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 | 2025-12-09 | 2026-01-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-12-09 | 2026-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-09 | 2026-01-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-09 | 2026-01-02 | N |
| Keep all essential equipment working safely. | Health | 2025-12-09 | 2026-01-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-12-09 | 2026-01-02 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-12-09 | 2026-01-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-09 | 2026-01-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-12-09 | 2026-01-02 | 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 | 2025-12-09 | 2026-01-02 | N |
| Provide or obtain dental services for each resident. | Health | 2025-12-09 | 2026-01-02 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-12-09 | 2026-01-02 | 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 | 2025-12-09 | 2026-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-09 | 2026-01-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-09 | 2025-12-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-12-09 | 2025-12-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-09 | 2025-12-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-09 | 2025-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-09 | 2025-12-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-09 | 2025-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-09 | 2025-12-28 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-12-09 | 2025-12-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-12-09 | 2025-12-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-12-09 | 2025-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-09 | 2025-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-12 | 2025-09-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-10 | 2025-07-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-05 | 2025-01-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-20 | 2024-12-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-01 | 2024-10-17 | Y |
| 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 | 2024-08-23 | 2024-09-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-23 | 2024-09-13 | Y |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2024-08-23 | 2024-09-13 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-23 | 2024-09-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-23 | 2024-09-13 | Y |
| 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 | 2024-08-23 | 2024-09-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-23 | 2024-09-13 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-08-23 | 2024-09-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-23 | 2024-09-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-23 | 2024-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-03 | 2024-07-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-23 | 2024-03-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-23 | 2024-03-14 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-02-23 | 2024-03-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-16 | 2023-06-26 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-07-15 | 2022-09-07 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2022-07-15 | 2022-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-15 | 2022-09-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-15 | 2022-09-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-15 | 2022-09-07 | 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 | 2022-07-15 | 2022-09-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-15 | 2022-09-07 | 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 | 2022-07-15 | 2022-09-07 | 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 | 2022-07-15 | 2022-09-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-15 | 2022-09-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-15 | 2022-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-15 | 2022-08-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-15 | 2022-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-15 | 2022-08-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-15 | 2022-08-02 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2025-12-09 | Not Fixed | N |