Deficiency Records for Fletcher Health and Rehabilitation Center
Updated as of June 01, 2019
This is not the most recent data for Fletcher Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Fletcher Health and Rehabilitation 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-22 | 2019-04-19 | 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 ne | Health | 2019-03-22 | 2019-04-19 | 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 | 2019-03-22 | 2019-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-19 | 2019-04-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-19 | 2019-04-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-18 | 2019-01-21 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-08-02 | 2018-09-02 | N |
| Develop a communication plan. | Fire Safety | 2018-08-02 | 2018-09-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-08-02 | 2018-09-02 | N |
| Establish methods for sharing information. | Fire Safety | 2018-08-02 | 2018-09-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-08-02 | 2018-09-02 | N |
| Be properly staffed | Fire Safety | 2018-08-02 | 2018-09-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-03 | 2018-09-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-03 | 2018-09-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-03 | 2018-09-02 | 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 | 2018-08-03 | 2018-09-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-08-03 | 2018-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-03 | 2018-09-02 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-03 | 2018-09-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-25 | 2018-02-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-01-25 | 2018-02-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-26 | 2018-02-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-26 | 2018-02-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-01-26 | 2018-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-26 | 2018-02-26 | N |
| Dispose of garbage and refuse properly. | Health | 2018-01-26 | 2018-02-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-01-26 | 2018-02-26 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-09 | 2017-08-21 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-06-20 | 2017-07-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-20 | 2017-07-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-20 | 2017-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-20 | 2017-07-20 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-06-20 | 2017-07-20 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-03 | 2017-05-08 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-02-07 | 2017-03-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-04 | 2016-10-28 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-04 | 2016-10-28 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-04 | 2016-10-28 | Y |
