Deficiency Records for Forest Street Compassionate Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Forest Street Compassionate 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-30 | 2024-01-10 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-11-30 | 2024-01-10 | 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 | 2023-03-02 | 2023-03-25 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-02 | 2023-03-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-02 | 2023-03-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-03-02 | 2023-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-02 | 2023-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-03-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-02 | 2023-03-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-23 | 2022-01-18 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-12-23 | 2022-01-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-23 | 2022-01-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-23 | 2022-01-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-23 | 2022-01-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-02 | 2021-12-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-02 | 2021-12-31 | 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 | 2021-12-02 | 2021-12-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-02 | 2021-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-02 | 2021-12-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-12-02 | 2021-12-31 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-12-02 | 2021-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-23 | 2021-12-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-06 | 2021-03-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-17 | 2020-10-15 | N |
| Provide activities to meet all resident's needs. | Health | 2020-09-17 | 2020-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-17 | 2020-10-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-17 | 2020-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-17 | 2020-10-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-10-01 | 2020-10-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-10-01 | 2020-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-01 | 2020-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-01 | 2020-10-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-01 | 2020-10-07 | 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 | 2020-10-01 | 2020-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-01 | 2020-10-06 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-10-01 | 2020-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-01 | 2020-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-01 | 2020-10-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-01 | 2020-10-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-01 | 2020-10-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-01 | 2020-10-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-10-01 | 2020-10-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-10-01 | 2020-10-05 | N |
