Deficiency Records for Fortuna Rehabilitation and Wellness Center, LP
Updated as of March 01, 2024
A list of the most recent deficiencies for Fortuna Rehabilitation and Wellness Center, LP. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-08-23 | 2023-09-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-23 | 2023-09-23 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-23 | 2023-09-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-25 | 2023-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-25 | 2023-08-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-25 | 2023-08-25 | Y |
| Provide appropriate foot care. | Health | 2023-04-26 | 2023-05-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-11 | 2023-04-25 | 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 | 2022-07-27 | 2022-09-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-27 | 2022-09-16 | 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 | 2022-07-27 | 2022-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-27 | 2022-09-16 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-07-27 | 2022-09-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-27 | 2022-09-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-27 | 2022-09-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-07-27 | 2022-09-16 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-07-27 | 2022-09-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-27 | 2022-09-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-27 | 2022-09-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-27 | 2022-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-27 | 2022-09-16 | Y |
| 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 | 2022-07-27 | 2022-09-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-27 | 2022-09-16 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-07-27 | 2022-09-16 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-08-02 | 2022-08-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-14 | 2022-07-11 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-06-14 | 2022-07-11 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-14 | 2022-07-11 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-06-14 | 2022-07-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-25 | 2022-06-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-25 | 2022-06-27 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-02-25 | 2022-06-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-25 | 2022-06-27 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-03-16 | 2022-06-09 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-03-16 | 2022-06-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-13 | 2022-05-18 | Y |
| 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 | 2021-09-16 | 2022-01-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-16 | 2022-01-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-16 | 2022-01-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-07 | 2021-09-14 | Y |
| 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 | 2021-03-25 | 2021-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-25 | 2021-05-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-15 | 2021-05-20 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-04-12 | 2019-07-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-19 | 2019-07-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-19 | 2019-07-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-06-19 | 2019-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-19 | 2019-07-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-19 | 2019-07-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-19 | 2019-07-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-19 | 2019-07-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-19 | 2019-07-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-19 | 2019-07-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-12 | 2019-06-28 | 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 | 2019-04-12 | 2019-06-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-12 | 2019-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-12 | 2019-06-28 | 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 | 2019-04-12 | 2019-06-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-12 | 2019-06-28 | 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 | 2019-04-12 | 2019-06-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-12 | 2019-06-28 | N |
| Keep all essential equipment working safely. | Health | 2019-04-12 | 2019-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-07 | 2018-06-11 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-03-07 | 2018-06-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-07 | 2018-05-03 | 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 | 2018-03-07 | 2018-05-03 | 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 | 2018-03-07 | 2018-05-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-03-07 | 2018-05-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-07 | 2018-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-07 | 2018-05-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-07 | 2018-05-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-07 | 2018-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-07 | 2018-05-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-07 | 2018-05-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-03-07 | 2018-05-03 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-03-07 | 2018-05-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-03-07 | 2018-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-07 | 2018-05-03 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-03-07 | 2018-05-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-07 | 2018-05-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-03-07 | 2018-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-07 | 2018-05-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-02-28 | 2018-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-28 | 2018-03-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-28 | 2018-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-28 | 2018-03-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-28 | 2018-03-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-02-28 | 2018-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-28 | 2018-03-22 | N |
