Deficiency Records for Complete Care at Fox Hill
Updated as of June 01, 2021
This is not the most recent data for Complete Care at Fox Hill. For the most recent information, click here.
A list of the most recent deficiencies for Complete Care at Fox Hill. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-02-03 | 2021-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-24 | 2020-10-16 | 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 | 2020-09-24 | 2020-10-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-24 | 2020-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-24 | 2020-10-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-06-04 | 2020-07-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-06-04 | 2020-07-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-04-20 | 2020-06-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-08 | 2019-09-23 | 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 | 2019-07-08 | 2019-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-08 | 2019-09-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-08 | 2019-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-08 | 2019-09-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-05 | 2019-08-16 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-07-05 | 2019-08-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-07-05 | 2019-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-05 | 2019-08-16 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-05 | 2019-08-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-05 | 2019-08-16 | N |
| Provide or obtain dental services for each resident. | Health | 2019-07-05 | 2019-08-16 | N |
| Keep all essential equipment working safely. | Health | 2019-07-05 | 2019-08-16 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-01 | 2018-07-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-01 | 2018-07-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-05-03 | 2018-06-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-03 | 2018-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-03 | 2018-06-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-03 | 2018-06-14 | N |
| Provide activities to meet all resident's needs. | Health | 2018-05-03 | 2018-06-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-03 | 2018-06-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-03 | 2018-06-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-05-03 | 2018-06-14 | 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 | 2018-05-03 | 2018-06-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-06-29 | 2017-08-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-06-29 | 2017-08-10 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-29 | 2017-08-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-29 | 2017-08-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-29 | 2017-08-09 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-06-29 | 2017-08-09 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-29 | 2017-08-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-29 | 2017-08-09 | N |
